Doctor Name: | MARY KERR |
NPI Number: | 1821150541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, ACSW |
License Number: | 6801011209 |
Business Practice Address: | 7590 Mistwood Dr White Lake, MI - 483833946 |
Business Phone Number: | 2489220680 |
Business Fax Number: | 2489222820 |
Mailing Address: | 7590 Mistwood Dr, WHITE LAKE |
State: | MI |
Postal Code: | 483833946 |
Phone Number: | 2489220680 |
Fax Number: | 2489222820 |
NPI Enumeration Date: | 12/16/2006 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801011209 |
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 |