Individual
MR. CARL MICHAEL HERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
220 BAGLEY ST, SUITE 700, DETROIT, MI 48226-1400
(313) 965-2141
(313) 961-4612
Mailing address
5271 DREXEL ST, F2, DETROIT, MI 48213-6744
(313) 303-6391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6801058523
MI
104100000X
Social Worker
Primary
6801058523
MI
Other
Enumeration date
02/02/2007
Last updated
06/19/2013
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