Individual
KATIE NICOLE HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
(248) 385-1193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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