Individual
CARLY CORPOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
725 S ADAMS RD STE 235, BIRMINGHAM, MI 48009-6931
(734) 674-7199
Mailing address
725 S ADAMS RD STE 235, BIRMINGHAM, MI 48009-6931
(734) 674-7199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087894
MI
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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