Individual
CATHERINE ANNE KOLACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 1/2 WASHINGTON AVE STE 3, GRAND HAVEN, MI 49417-3316
(616) 419-8591
Mailing address
212 1/2 WASHINGTON AVE STE 3, GRAND HAVEN, MI 49417-3316
(616) 419-8591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134396427
—
MI
Enumeration date
05/15/2008
Last updated
01/09/2024
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