Individual
MS. KATHERINE MANDI HUNDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
32715 DORSEY ST, WESTLAND, MI 48186-4755
(734) 641-1141
Mailing address
1403 INKSTER RD, INKSTER, MI 48141-1831
(313) 565-2200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
6802085991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802085991
STATE OF MICHIGAN
MI
Enumeration date
10/01/2012
Last updated
08/14/2023
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