Individual
CARRIE M MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15700 W 10 MILE RD STE 106, SOUTHFIELD, MI 48075-2100
(248) 241-6772
Mailing address
15700 W 10 MILE RD STE 106, SOUTHFIELD, MI 48075-2100
(248) 241-6772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801103959
MI
171M00000X
Case Manager/Care Coordinator
6802087562
MI
Other
Enumeration date
12/04/2012
Last updated
11/24/2021
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