Individual
NICOLE KALLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW, CMHP
Contact information
Practice address
G3169 BEECHER RD, FLINT, MI 48532-3611
(810) 237-0799
(810) 234-0953
Mailing address
PO BOX 289, MASON, MI 48854-0289
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851109428
MI
171M00000X
Case Manager/Care Coordinator
Primary
6802089787
MI
Other
Enumeration date
12/06/2017
Last updated
05/07/2026
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