Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 6801100900 | MI |
NPI | 1003337692 |
---|---|
Provider Name | Kathryn Elizabeth Stennett |
First Address | Royal Oak, MI 48073-5123 |
Second Address | Auburn Hills, MI 48326-1955 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2017 |
Last Update Date | 05/07/2017 |