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Individual

CARLEEN M RILEY-MERCADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
300 LAFAYETTE AVE SE STE 4000, GRAND RAPIDS, MI 49503-4692
(616) 685-6922
(616) 685-5101
Mailing address
PO BOX 776974, CHICAGO, IL 60677-6982
(231) 672-2119

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
34008995A
IN
1041C0700X
Clinical Social Worker
Primary
6801113613
MI

Other

Enumeration date
01/09/2021
Last updated
12/07/2022
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