Provider Demographics
NPI:1578893343
Name:LOWE, KATHRYN HELEN (LMSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:HELEN
Last Name:LOWE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:HELEN
Other - Last Name:LATRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:21885 DUNHAM RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-1030
Mailing Address - Country:US
Mailing Address - Phone:586-573-1830
Mailing Address - Fax:586-573-2121
Practice Address - Street 1:21885 DUNHAM RD STE 1
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-1030
Practice Address - Country:US
Practice Address - Phone:586-573-1830
Practice Address - Fax:586-573-2121
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical