Individual
KATIE LYNN OURADNIK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST, QIDP
Contact information
Practice address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803088625
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6803088625
—
MI
Enumeration date
03/04/2022
Last updated
03/04/2022
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