Individual
CAROL BEROUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6270 BARKER DR, WATERFORD, MI 48329-3181
(248) 892-0525
Mailing address
6270 BARKER DR, WATERFORD, MI 48329-3181
(248) 892-0525
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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