| Doctor Name: | KIMBERLY ANN MCCANE |
| NPI Number: | 1790040384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.S.W |
| License Number: | 6801094356 |
| Business Practice Address: | 1035 E Wilcox Ave White Cloud, MI - 493498794 |
| Business Phone Number: | 2316895943 |
| Business Fax Number: | 2316891590 |
| Mailing Address: | 1035 E Wilcox Ave, WHITE CLOUD |
| State: | MI |
| Postal Code: | 493498794 |
| Phone Number: | 2316895943 |
| Fax Number: | 2316891590 |
| NPI Enumeration Date: | 07/10/2012 |
| NPI Last Update Date: | 09/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801094356 |
| 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 |