NPI 1003026089

Mary Decarolis, LMSWACSW

Practitioner Clinical Social Worker Detroit, MI

Practice location

Address: 22101 Moross Rd, Detroit, MI 48236-2148
Phone: (313) 417-2769

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6801077436 (MI)

Other Social Worker providers in Michigan →

Registry record

NPI: 1003026089
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2007
Record last updated: 30 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.