Individual
MISS CARROLL ANNETTE BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-M
Contact information
Practice address
3190 HALLMARK CT, SAGINAW, MI 48603-2190
(989) 790-3366
Mailing address
445 S 4TH AVE, SAGINAW, MI 48601-2129
(989) 752-6799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B 164108067648
MI
Other
Enumeration date
07/05/2012
Last updated
07/13/2012
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