| Doctor Name: | MS. KATHRYN E MIZZI |
| NPI Number: | 1952569378 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW MSW ACSW |
| License Number: | 6801073772 |
| Business Practice Address: | 720 W Us-2 Suite D Saint Ignace, MI - 49781 |
| Business Phone Number: | 9066437035 |
| Business Fax Number: | 9066437467 |
| Mailing Address: | Po Box 303, SAINT IGNACE |
| State: | MI |
| Postal Code: | 49781 |
| Phone Number: | 9066437035 |
| Fax Number: | 9066437467 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801073772 |
| 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 |