Doctor Name: | KATHLEEN RANSOME |
NPI Number: | 1023119633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSW |
License Number: | |
Business Practice Address: | 5111 Auto Club Dr 112 Dearborn, MI - 481262749 |
Business Phone Number: | 3133172000 |
Business Fax Number: | 3133172090 |
Mailing Address: | 5111 Auto Club Dr, 112 DEARBORN |
State: | MI |
Postal Code: | 481262749 |
Phone Number: | 3133172000 |
Fax Number: | 3133172090 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |