Individual
CAITLIN WALDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12200 E 13 MILE RD STE 200, WARREN, MI 48093-3093
(586) 573-1810
Mailing address
12200 E 13 MILE RD STE 200, WARREN, MI 48093-3093
(586) 573-1810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801108501
MI
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801108501
MSW LICENSE
MI
Enumeration date
09/28/2016
Last updated
11/23/2020
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