Provider Demographics
NPI:1295396315
Name:LAJOIE, KAYLA BLAIR (MA, LMSW)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:BLAIR
Last Name:LAJOIE
Suffix:
Gender:F
Credentials:MA, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 CARPENTER RD
Mailing Address - Street 2:P.O. BOX #145
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-5368
Mailing Address - Country:US
Mailing Address - Phone:734-218-5012
Mailing Address - Fax:
Practice Address - Street 1:701 E CROSS ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-3818
Practice Address - Country:US
Practice Address - Phone:734-218-5012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011015871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical