Individual
MS. CAROL LYNN DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3350
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801033824
MI
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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