Individual
CHIQUITA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16124 MOROSS RD, DETROIT, MI 48205-7701
(313) 521-0180
Mailing address
155 S MAIN ST, UNIT 848, MOUNT CLEMENS, MI 48046-7700
(313) 521-0180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MI
1041C0700X
Clinical Social Worker
Primary
6801064578
MI
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/12/2015
Last updated
03/26/2020
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