Individual
ABIGAIL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 BUTH DR NE, COMSTOCK PARK, MI 49321-9501
(616) 279-6414
(616) 323-3966
Mailing address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851110856
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/13/2021
Last updated
06/11/2024
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