Provider Demographics
NPI:1861721466
Name:KESTER, JANET GRACE (LMSW)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:GRACE
Last Name:KESTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9290 CHASE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FOWLERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48836-9761
Mailing Address - Country:US
Mailing Address - Phone:248-210-6012
Mailing Address - Fax:
Practice Address - Street 1:32231 SCHOOLCRAFT RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-4312
Practice Address - Country:US
Practice Address - Phone:734-422-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010892681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical