Individual
MELISSA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
602 W VAN HOESEN BLVD, PORTAGE, MI 49024-1358
(616) 212-8673
Mailing address
602 W VAN HOESEN BLVD, PORTAGE, MI 49024-1358
(616) 212-8673
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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