Individual
KATY R CARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802088012
MI
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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