Individual
CAROL MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 LEONARD ST NE, GRAND RAPIDS, MI 49503-1138
(616) 774-2592
(616) 774-2592
Mailing address
805 LEONARD NE, GRAND RAPIDS, MI 49503
(616) 774-2592
(616) 774-1001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802070863
MI
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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