Individual
KATIE MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
20 CHESTNUT ST, APT. 204, WYANDOTTE, MI 48192-5240
(734) 624-8733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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