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Organization

NEW CREATION PSYCHOLOGICAL SERVIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN COLLEEN BALDUS ED.D. (PRESIDENT PSYCHOLOGIST)
(231) 652-1299
Entity
Organization

Contact information

Practice address
17635 PEARL ST, BAILEY, MI 49303-9750
(231) 343-7969
Mailing address
7800 S RIVER RIDGE RD, NEWAYGO, MI 49337-9752
(231) 652-1299

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011963
MI

Other

Enumeration date
03/06/2007
Last updated
08/22/2020
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