Provider Demographics
NPI:1811071715
Name:JARPE, MARY KATHARINE (LMSW)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:KATHARINE
Last Name:JARPE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1732 TRAFALGAR DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-9429
Mailing Address - Country:US
Mailing Address - Phone:269-428-0022
Mailing Address - Fax:269-428-7456
Practice Address - Street 1:3888 NILES RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-8612
Practice Address - Country:US
Practice Address - Phone:269-428-0022
Practice Address - Fax:269-428-7456
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010151721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical