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Individual

MS. CARRIE PEBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 248-5122
(616) 243-2302
Mailing address
PO BOX 141, GRAND RAPIDS, MI 49501-0141
(616) 248-5122
(616) 243-2302

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801086032
MI

Other

Enumeration date
11/15/2012
Last updated
09/19/2013
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