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Individual

MRS. BERNADINE GERALDINE MISTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,CSW

Contact information

Practice address
7466 CALHOUN ST, DEARBORN, MI 48126-1433
(313) 846-8605
(313) 933-4770
Mailing address
7466 CALHOUN ST, DEARBORN, MI 48126-1433
(313) 846-8605
(313) 933-4770

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6801021277
MI

Other

Enumeration date
02/15/2008
Last updated
02/15/2008
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