Individual
MS. KATHLEEN CAROLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2710 12 MILE RD, BERKLEY, MI 48072-1630
(248) 543-1090
(248) 543-0017
Mailing address
435 W NORTHFIELD AVE, PONTIAC, MI 48340-1324
(248) 543-1090
(248) 543-0017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801081623
MI
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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