| Kathryn Fox Lmsw Llc | |
|
455 E Eisenhower Pkwy Ste 300-204 Ann Arbor MI 48108-3356 | |
| (734) 623-9903 | |
| Not Available |
| Full Name | Kathryn Fox Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 455 E Eisenhower Pkwy Ste 300-204, Ann Arbor, Michigan |
| Authorized Official Name and Position | Shawn Burton (BILLING MANAGER) |
| Authorized Official Contact | 2484716593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Fox Lmsw Llc 455 E Eisenhower Pkwy Ste 300-204 Ann Arbor MI 48108-3356 Ph: () - | Kathryn Fox Lmsw Llc 455 E Eisenhower Pkwy Ste 300-204 Ann Arbor MI 48108-3356 Ph: (734) 623-9903 |
| NPI Number | 1245954940 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Medicare PECOS PAC ID | 6103293006 |
|---|---|
| Medicare Enrollment ID | O20221107001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245954940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316332653 PECOS PAC ID: 4082934435 Enrollment ID: I20150526002046 |
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