Individual
CAROL JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
511 GRIFFIN RD, WEST BRANCH, MI 48661-9251
(989) 310-6665
Mailing address
511 GRIFFIN RD, WEST BRANCH, MI 48661-9251
(989) 310-6665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802068873
MA
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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