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Individual

AISHA COULSON-WALTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1501 FULFORD ST, KALAMAZOO, MI 49001
(269) 358-8670
Mailing address
286 KENSINGTON CIR, BATTLE CREEK, MI 49015-9500
(269) 358-8670

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SW12942
PA
1041C0700X
Clinical Social Worker
Primary
6801100561
MI

Other

Enumeration date
06/11/2012
Last updated
05/12/2018
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