MEDICARE: NATALIE KEMBER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1770177552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATALIE KEMBER LLC

Provider Business Mailing Address
First Line	:	3844 WESTCHESTER BLVD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-1170
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3844 WESTCHESTER BLVD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-1170
Country	:	US
Telephone Number	:	517-581-1006
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATALIE KEMBER
Credential	:	LMSW
Telephone Number	:	517-581-1006

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	02/23/2021

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