Individual
CARLY ROSE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
4572 S HAGADORN RD, EAST LANSING, MI 48823-5385
(616) 287-4986
Mailing address
743 FOUNTAIN ST NE APT A, GRAND RAPIDS, MI 49503-3530
(616) 828-3256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851110341
MI
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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