Individual
CARLENE J BROCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
450 BREWER RD, LEONARD, MI 48367-4008
(586) 944-4790
(248) 800-3336
Mailing address
22309 MYLLS ST, SAINT CLAIR SHORES, MI 48081-1342
(586) 944-4790
(248) 800-3336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092855
MI
Other
Enumeration date
12/16/2018
Last updated
01/25/2024
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