Individual
KAITLYNN HOPE PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N MITCHELL ST STE 204, CADILLAC, MI 49601-1859
(231) 884-0028
Mailing address
201 N MITCHELL ST STE 204, CADILLAC, MI 49601-1859
(231) 884-0028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2024
Last updated
12/29/2024
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