Individual
CAITLIN DEBOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
18301 19 MILE RD, TUSTIN, MI 49688-8715
(231) 884-1199
Mailing address
18301 19 MILE RD, TUSTIN, MI 49688-8715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801116169
MI
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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