Individual
CAROLYN L MADRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, M.S.
Contact information
Practice address
2020 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7717
(414) 520-2503
Mailing address
445 WASHINGTON ST SE, GRAND RAPIDS, MI 49503-4458
(414) 520-2503
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2555-226
WI
101YP2500X
Professional Counselor
Primary
6401016195
MI
Other
Enumeration date
06/05/2015
Last updated
08/20/2020
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