Individual
KATHERINE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 385-1193
Mailing address
14465 APPLETREE LN, FENTON, MI 48430-1432
(810) 869-1383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MI
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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