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Individual

MS. CARIE ANN BARODTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
477 E CAMBOURNE ST, FERNDALE, MI 48220-1307
(248) 250-0376
Mailing address
477 E CAMBOURNE, FERNDALE, MI 48220
(248) 250-0376

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6801064911
MI
101YM0800X
Mental Health Counselor
Primary
6801064911
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
680164911
MI
Enumeration date
02/10/2016
Last updated
02/10/2016
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