Individual
CAROLE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW CSW
Contact information
Practice address
3330 CLAYSTONE ST SE, GRAND RAPIDS, MI 49546-7716
(616) 942-8060
(616) 942-6690
Mailing address
PO BOX 30516, DEPT 6065, LANSING, MI 48909-8016
(616) 532-8000
(616) 532-7230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802015353
MI
Other
Enumeration date
01/27/2006
Last updated
06/26/2008
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