| Doctor Name: | KAREN TYNER ROUFF |
| NPI Number: | 1013151398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801033859 |
| Business Practice Address: | 415 S West St #150 Royal Oak, MI - 480672521 |
| Business Phone Number: | 2489887465 |
| Business Fax Number: | 2486442415 |
| Mailing Address: | 415 S West St, #150 ROYAL OAK |
| State: | MI |
| Postal Code: | 480672521 |
| Phone Number: | 2489887465 |
| Fax Number: | 2486442415 |
| NPI Enumeration Date: | 04/30/2009 |
| NPI Last Update Date: | 04/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801033859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |