Individual
MRS. KAITLYNN DANIELE PANAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2019 4TH ST, JACKSON, MI 49203-3555
(517) 206-3981
Mailing address
7420 CASE RD, BROOKLYN, MI 49230-9523
(517) 206-3981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801115405
MI
Other
Enumeration date
04/29/2021
Last updated
12/07/2023
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