Individual
CARMEN MARIE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 COVINGTON CT, LANSING, MI 48912-4941
(517) 914-7425
Mailing address
1121 COOPER AVE, LANSING, MI 48910-2636
(517) 914-7425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851114862
MI
1041C0700X
Clinical Social Worker
6851114862
MI
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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