Individual
CHELSEA D CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19275 NORTHLINE RD BLDG 7, SOUTHGATE, MI 48195-2220
(313) 833-2970
Mailing address
22407 ROSEMARY ST, SAINT CLAIR SHORES, MI 48081-2267
(218) 202-0952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104826
MI
Other
Enumeration date
08/08/2018
Last updated
07/17/2019
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