Individual
CAROLYN LIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32656 AVONDALE ST, WESTLAND, MI 48186-8902
(734) 837-5337
Mailing address
32656 AVONDALE ST, WESTLAND, MI 48186-8902
(734) 837-5337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801079183
MI
171M00000X
Case Manager/Care Coordinator
6801079183
MI
Other
Enumeration date
05/05/2014
Last updated
10/09/2020
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