Individual
CHLOE ELIZABETH LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684-2288
(231) 492-6018
Mailing address
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684-2288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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