Individual
CAROL ELAINE GROSMARK
Active
Individual
CAROL ELAINE GROSMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-01307
MI
1041C0700X
Clinical Social Worker
Primary
6801088511
MI
Other
Enumeration date
09/10/2007
Last updated
01/15/2009
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