Individual
KATHLEEN CLAIRE REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
38251 S GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1929
(586) 466-4159
(586) 469-6731
Mailing address
38251 S GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1929
(586) 466-4159
(586) 469-6731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6801058957
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801058957
SOCIAL WORKER LICENSE
MI
Enumeration date
02/08/2007
Last updated
07/08/2007
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