Doctor Name: | MR. WILLIAM LAWBENCE KEARNS |
NPI Number: | 1215998257 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 6801004091 |
Business Practice Address: | 1322 North River Rd St Clair, MI - 48079 |
Business Phone Number: | 8103294798 |
Business Fax Number: | 8103297303 |
Mailing Address: | 3967 Parker Rd, FORT GRATIOT |
State: | MI |
Postal Code: | 490594134 |
Phone Number: | 8103859944 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801004091 |
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 |