Individual
MRS. KATIE REBECCA MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
Mailing address
5434 CHRISTIE AVE SE, KENTWOOD, MI 49508-6165
(616) 262-1265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L1556036
MI
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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