Individual
KATHERINE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
3501 TAYLOR AVE, NOTTINGHAM, MD 21236-4406
(616) 916-4307
Mailing address
3501 TAYLOR AVE, NOTTINGHAM, MD 21236-4406
(616) 916-4307
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
22789
MI
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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