Individual
MS. CAROLE ELYSE DIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(315) 676-1555
(313) 576-1570
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(315) 676-1555
(313) 576-1570
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
6801034135
MI
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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