Search › Michigan › 1041C0700X
Katie Fennell, LMSW
NPI 1023164670 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2340 Dean Lake Ave Ne
Grand Rapids, MI 49505 - Phone
- (616) 361-6014
- Fax
- (616) 361-8051
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan