Individual
KATHLEEN MHEIN BLAZEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3287 RACQUET CLUB DR, TRAVERSE CITY, MI 49684-4702
(231) 935-0355
Mailing address
3287 RACQUET CLUB DR, TRAVERSE CITY, MI 49684-4702
(231) 935-0355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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