| Doctor Name: | KATIE MAE CARPENTER |
| NPI Number: | 1013207828 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMSW |
| License Number: | 6801091269 |
| Business Practice Address: | 2615 Stadium Dr Kalamazoo, MI - 490081654 |
| Business Phone Number: | 2693431651 |
| Business Fax Number: | |
| Mailing Address: | 3270 Cardinal Hills Trl, KALAMAZOO |
| State: | MI |
| Postal Code: | 490046613 |
| Phone Number: | 2698083837 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2011 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801091269 |
| 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 |