Individual
CAROL MONCREIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW CSW
Contact information
Practice address
45445 MOUND, SUITE 109, SHELBY TOWNSHIP, MI 48317
(586) 254-5660
(586) 254-0622
Mailing address
36975 UTICA ROAD, SUITE 103, CLINTON TOWNSHIP, MI 48036
(586) 226-3440
(586) 226-3672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801062389
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SWL4711468
POLICY #
—
Enumeration date
12/05/2006
Last updated
07/08/2007
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