Individual
KATIE LOUISE LANE-WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
271 S MAIN ST, PLYMOUTH, MI 48170-1637
(248) 216-5781
Mailing address
201 N NORMAL ST APT 3, YPSILANTI, MI 48197-3316
(248) 602-1640
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118121
MI
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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