Provider Demographics
NPI:1083140982
Name:DUNN, KARA ELIZABETH (LMSW)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:ELIZABETH
Last Name:DUNN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:ELIZABETH
Other - Last Name:BLOEMENDAAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4128 TRIBUTARY DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-8463
Mailing Address - Country:US
Mailing Address - Phone:616-201-7124
Mailing Address - Fax:
Practice Address - Street 1:653 MICHIGAN AVE STE 200
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4984
Practice Address - Country:US
Practice Address - Phone:616-209-9103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801100836104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker