Individual
MRS. CAROL B RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9334
(616) 364-1500
(616) 364-6400
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801017856
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR017856
BCBS PIN
MI
Enumeration date
04/20/2007
Last updated
03/01/2011
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