Individual
KATRINA M DICESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
39340 MEDALLION CT APT 7103, FARMINGTON HILLS, MI 48331-4913
(616) 322-5427
Mailing address
39340 MEDALLION CT APT 7103, FARMINGTON HILLS, MI 48331-4913
(616) 322-5427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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