Organization
CARLENE J BROCKERT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENE J BROCKERT LMSW (OWNER)
(586) 944-4790
Entity
Organization
Contact information
Practice address
22309 MYLLS ST, SAINT CLAIR SHORES, MI 48081-1342
(586) 944-4790
Mailing address
22309 MYLLS ST, SAINT CLAIR SHORES, MI 48081-1342
(586) 944-4790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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