Organization
CHRISTINE MUSHLOCK, LMSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MUSHLOCK LMSW (OUTPATIENT THERAPIST)
(616) 328-9238
Entity
Organization
Contact information
Practice address
103 COLLEGE AVE SE STE 205, GRAND RAPIDS, MI 49503-5945
(616) 328-9238
Mailing address
1046 LAKE GROVE AVE SE, EAST GRAND RAPIDS, MI 49506-3556
(616) 328-9238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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