Wasiak, Carol Marie

Wasiak, Carol Marie is an individual health care provider with primary practice located at 79 W Alexandrine St , Detroit MI 48201-2015. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wasiak, Carol Marie can be contacted via phone (313) 831-5535.

Contact Information

Primary practice address
79 W Alexandrine St Detroit MI 48201-2015
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301015170 Michigan

Profile Details

NPI number 1538408976
LBN Legal business name Wasiak, Carol Marie
Credentials MA TLLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2013
Last updated Nov 28th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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