Doctor Name: | MS. KATHRYN C. RADAMIS |
NPI Number: | 1043380025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW CAC-1 |
License Number: | 6801088044 |
Business Practice Address: | 917 S Merriman Rd Westland, MI - 481864951 |
Business Phone Number: | 7346411141 |
Business Fax Number: | 7346411142 |
Mailing Address: | 917 S. Merriman Rd., WESTLAND |
State: | MI |
Postal Code: | 481864951 |
Phone Number: | 7346411141 |
Fax Number: | 7346411142 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801088044 |
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 |