Individual
CONNOR JALAINE CARLSON-YDERSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(810) 569-7869
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851109792
MI
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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