Individual
CAROL ELAINE GROSMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAAC
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Mailing address
715 LAKE AVE, UNIT D, TRAVERSE CITY, MI 49684-3283
(231) 883-5291
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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