Provider Demographics
NPI:1427306810
Name:OSBORNE, KATHLEEN JANE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JANE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:KATHLEEN
Other - Middle Name:JANE
Other - Last Name:COLLIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:24376 EL MARCO DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2035
Mailing Address - Country:US
Mailing Address - Phone:248-231-2338
Mailing Address - Fax:
Practice Address - Street 1:38807 ANN ARBOR RD
Practice Address - Street 2:SUITE 7
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-3896
Practice Address - Country:US
Practice Address - Phone:734-953-6734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010599561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical