Individual
MS. BERNADETTE MARY DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
(734) 287-1660
Mailing address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
(734) 287-1660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L872971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801085686
STATE OF MICHIGAN
MI
Enumeration date
07/12/2007
Last updated
07/12/2007
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