Individual
MR. THEODORE KARL KASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
12211 MENTZ DR, BRUCE, MI 48065-4436
(586) 255-2259
Mailing address
12211 MENTZ DR, BRUCE, MI 48065-4436
(586) 255-2259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801059521
MI
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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