Individual
MRS. KATHIE MAELENE SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
220 W ELLSWORTH ST, MIDLAND, MI 48640-5180
(989) 837-0708
Mailing address
1213 W YOUNGS RD, GLADWIN, MI 48624-8002
(989) 426-6891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801058722
MI
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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