Individual
MRS. CHERILYN ELAINE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW/LSW MA/LPC
Contact information
Practice address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(313) 213-0991
Mailing address
18820 HAMPSHIRE ST, LATHRUP VILLAGE, LATHRUP VILLAGE, MI 48076-4454
(248) 552-8426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401003217
MI
1041C0700X
Clinical Social Worker
6802060490
MI
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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