Individual
MRS. CARLA SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 RAYBROOK ST SE STE 203, GRAND RAPIDS, MI 49546-5783
(616) 956-9440
Mailing address
2321 ANCIENT DR SW, WYOMING, MI 49519-4846
(231) 233-5933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802079020
MI
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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