Individual
KATELYN ROSE VANDER SLOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
921 BEAVER RD, BITELY, MI 49309-9647
(231) 287-7103
Mailing address
921 BEAVER RD, BITELY, MI 49309-9647
(231) 287-7103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
680290326
MI
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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