Individual
KATHLEEN HARALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D, CPSS
Contact information
Practice address
12285 DIXIE STE 100, REDFORD, MI 48239-2491
(313) 543-3393
(313) 543-3395
Mailing address
12285 DIXIE STE 100, REDFORD, MI 48239-2491
(313) 543-3393
(313) 543-3395
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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