Individual
DR. KATHY A CARRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1675 84TH ST SE, CALEDONIA, MI 49316-7939
(616) 238-0159
Mailing address
1125 ROYAL OAK ST SW, WYOMING, MI 49509-3562
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801094220
MI
Other
Enumeration date
06/11/2012
Last updated
03/19/2024
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