Individual
CAROL ELIZABETH RIESTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
89 W SOUTH BLVD STE 200, TROY, MI 48085-1612
(800) 693-1916
(248) 605-3525
Mailing address
2571 MANCHESTER RD, BIRMINGHAM, MI 48009-5897
(248) 798-7358
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092275
MI
Other
Enumeration date
08/05/2013
Last updated
09/19/2018
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