Individual
MS. KATHLEEN MARIE CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW CADC M
Contact information
Practice address
3650 DIXIE HWY, WATERFORD, MI 48329-4290
(248) 674-4630
Mailing address
2412 WOODBOURNE DR, WATERFORD, MI 48329-2472
(248) 259-1101
(248) 461-6020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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