Individual
CAROL ANN BOBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3686
(313) 576-1446
Mailing address
5941 HUNTINGTON DR, YPSILANTI, MI 48197-7192
(313) 576-3686
(313) 576-1446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801108996
MI
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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