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General NPI Number Information
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NPI Number | 1235000522
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Entity Type | Individual
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Provider Name | KATELYN MCDONALD LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1293 M-37 SUITE A
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City | BUCKLEY
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State | MI
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Zip | 49620
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Country | US
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Telephone | 231-269-4185
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Fax |
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Provider Business Mailing Address
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Address Line | 20342 WHITE OAK CT
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City | LAKE ANN
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State | MI
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Zip | 49650-9688
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Country | US
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Telephone | 231-360-1813
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6801120544
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License Number State | MI
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