Individual
CAROLYN REX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
363 FREMONT ST STE 203, BATTLE CREEK, MI 49017-3398
(269) 969-6123
(269) 969-6122
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-1000
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801063864
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801063864
STATE LICENSE
MI
Enumeration date
04/29/2016
Last updated
03/17/2018
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