Individual
CARLY FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12511 152ND AVE, GRAND HAVEN, MI 49417
(616) 844-0906
Mailing address
12511 152ND AVE, GRAND HAVEN, MI 49417
(616) 844-0906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851114933
MI
Other
Enumeration date
09/13/2022
Last updated
11/27/2024
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