Individual
CARISSA GLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
21610 E 11 MILE RD STE 5, SAINT CLAIR SHORES, MI 48081-1671
(586) 913-1530
Mailing address
21610 E 11 MILE RD STE 5, SAINT CLAIR SHORES, MI 48081-1671
(586) 913-1530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801094212
MI
Other
Enumeration date
08/27/2012
Last updated
09/07/2023
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