Individual
KATHRYN DEMAAGD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
1776 WILDWOOD HEIGHTS RD, BOYNE CITY, MI 49712-9196
(231) 675-9766
Mailing address
1776 WILDWOOD HEIGHTS RD, BOYNE CITY, MI 49712-9196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401011153
MI
103T00000X
Psychologist
Primary
6301014086
MI
Other
Enumeration date
03/12/2009
Last updated
09/12/2013
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