Individual
MS. CHELSEA LAUREN KORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44899 CENTRE CT, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
Mailing address
42927 NEBEL TRL, CLINTON TOWNSHIP, MI 48038-2457
(586) 855-1043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087081
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802087081
MICHIGAN LLBSW
MI
Enumeration date
12/12/2012
Last updated
12/12/2012
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