Carolyn Signe Fredlund, SST
Individual provider Active NPI Social Worker · Iron River, MI
NPI 1073545406 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073545406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6803080786 (MI)
- Practice address
- 703 N 2ND Ave
Iron River, MI 49935-1451 - Phone
- (906) 265-5126
- Fax
- (906) 265-5878
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6803080786 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6803080786 | MI | Yes |
Addresses
Primary practice location
703 N 2ND Ave
Iron River, MI 49935-1451
Mailing address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522
Other names
- Carolyn Signe Dunham
Other providers in Iron River, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.