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NPI Code Detail

MEDICARE: CARLA L KLIMP LLMSW

MEDICARE:   CARLA L KLIMP  LLMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6851116891MI

General Provider Information

NPI Number : 1528842465
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA L KLIMP LLMSW
Provider Business Mailing Address
First Line : 521 PLYMOUTH AVE SE
Second Line :
City : EAST GRAND RAPIDS
State : MI
Zip : 49506-2841
Country : US
Telephone Number : 616-915-2183
Fax Number :
Provider Business Practice Location Address
First Line : 521 PLYMOUTH AVE SE
Second Line :
City : EAST GRAND RAPIDS
State : MI
Zip : 49506-2841
Country : US
Telephone Number : 616-915-2183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2023
Last Update Date : 08/22/2023

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Directions to “ CARLA L KLIMP LLMSW” Practice Location

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