Individual
MS. KATHRYN J ROALEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A,, L L.P.,
Contact information
Practice address
5039 10 MILE RD NE, ROCKFORD, MI 49341-9301
(616) 866-4514
Mailing address
5039 10 MILE RD NE, ROCKFORD, MI 49341-9301
(616) 866-4514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009417
MI
104100000X
Social Worker
6802018463
MI
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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