Individual
CARISSA ROSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 882-4000
(517) 882-3506
Mailing address
7815 TRESTLEWOOD DR APT 1A, LANSING, MI 48917-8793
(810) 625-3756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801119943
MI
Other
Enumeration date
09/19/2022
Last updated
08/22/2025
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