Individual
KARI K PROVIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Contact information
Practice address
35331 REGENCY LN, FARMINGTON HILLS, MI 48331-1453
(248) 765-6188
Mailing address
5725 WALNUT LAKE RD, WEST BLOOMFIELD, MI 48323-2373
(248) 661-5700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801066137
MI
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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