KATELYNN MACK

EAST LANSING, MI
NPI1821816091
Former NameKATELYNN DIEPSTRA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6851114022)
Enumeration Date2024-09-27
Last Update Date2024-09-27
Business Address
KATELYNN MACK
411 W LAKE LANSING RD STE C125
EAST LANSING, MI 48823-8485
Phone number: 616-617-0446
Mailing Address
KATELYNN MACK
3118 AVERILL DR
LANSING, MI 48911-1401
Phone number: 616-617-0446