Individual
CARLY KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3125 W MAIN ST, KALAMAZOO, MI 49006-2997
(802) 774-8548
Mailing address
223 ROSE PL, KALAMAZOO, MI 49001-2617
(802) 774-8548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0135822
VT
1041C0700X
Clinical Social Worker
Primary
6801118672
MI
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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