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Individual

WILLIE CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLP

Contact information

Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 387-8230
(269) 387-7026
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 387-8230
(269) 387-7026

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
C0714
MI

Other

Enumeration date
06/27/2013
Last updated
06/27/2013
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