Individual
CARLY VAN ECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 551-1464
Mailing address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095936
MI
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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