Individual
CARLY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CFLE
Contact information
Practice address
48 HERON DR NW APT 302J, GRAND RAPIDS, MI 49534-1644
(616) 307-2328
Mailing address
48 HERON DR NW APT 302J, GRAND RAPIDS, MI 49534-1644
(616) 307-2328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6851115603
MI
1041C0700X
Clinical Social Worker
Primary
6801120189
MI
Other
Enumeration date
01/23/2024
Last updated
05/02/2025
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