Individual
KAYLA MITCHELLE FRATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
632 N SHIAWASSEE STREET, OWOSSO, MI 48867-2645
(989) 723-0330
(517) 676-5460
Mailing address
P.O. BOX 289, 585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801092677
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
12/07/2016
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