Individual
CHRISTIAN SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201
(313) 831-5535
(313) 831-2608
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009442A
IN
1041C0700X
Clinical Social Worker
6801103121
MI
Other
Enumeration date
08/05/2018
Last updated
09/28/2021
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