Individual
DR. CORY MICHAEL CARLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, MSW, LCSW
Contact information
Practice address
2676 TROJAN DR APT G16, GREEN BAY, WI 54304-1260
(920) 664-3178
Mailing address
2676 TROJAN DR APT G16, GREEN BAY, WI 54304-1260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131470-121
WI
1041C0700X
Clinical Social Worker
Primary
12468-123
WI
1041C0700X
Clinical Social Worker
35505
MN
Other
Enumeration date
04/28/2023
Last updated
03/04/2026
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