Individual
KAITLYN HEATHER CORELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
789 N CLARE AVE, HARRISON, MI 48625-8250
(989) 539-2141
Mailing address
PO BOX 817, HARRISON, MI 48625-0817
(989) 539-2141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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