Individual
DR. CARLY BRESCACIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-6677
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301019015
MI
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
03/24/2022
Last updated
05/25/2022
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