Individual
KATIE LYNN KRAJEWSKI-KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP, LLMSW
Contact information
Practice address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4052
Mailing address
200 S WING ST., PO BOX 305, NORTHVILLE, MI 48167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017621
MI
1041C0700X
Clinical Social Worker
6801110290
MI
Other
Enumeration date
11/27/2018
Last updated
07/15/2021
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