Individual
FREDERICK CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11457 SHOEMAKER ST, DETROIT, MI 48213-3418
(313) 331-3435
(313) 924-0609
Mailing address
11457 SHOEMAKER ST, DETROIT, MI 48213-3418
(313) 331-3435
(313) 924-0609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803086187
MI
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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