Individual
MS. CARIN M MIZERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW LICSW
Contact information
Practice address
205 W 2ND ST, DULUTH, MN 55802-1928
(615) 631-7543
Mailing address
205 W 2ND ST, DULUTH, MN 55802-1928
(615) 631-7543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12677131
WI
1041C0700X
Clinical Social Worker
Primary
25089
MN
1041C0700X
Clinical Social Worker
5075
TN
1041C0700X
Clinical Social Worker
6986123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40957200
—
WI
Enumeration date
12/04/2006
Last updated
07/21/2022
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