| Bernadette Di Carlo Pllc | |
|
417 S Lafayette St Suite112 South Lyon MI 48178-1458 | |
| (734) 846-0793 | |
| Not Available |
| Full Name | Bernadette Di Carlo Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 417 S Lafayette St, South Lyon, Michigan |
| Authorized Official Name and Position | Bernadette Di Carlo (PROVIDER) |
| Authorized Official Contact | 7348450793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernadette Di Carlo Pllc 417 S Lafayette St Suite112 South Lyon MI 48178-1458 Ph: (734) 846-0793 | Bernadette Di Carlo Pllc 417 S Lafayette St Suite112 South Lyon MI 48178-1458 Ph: (734) 846-0793 |
| NPI Number | 1124398557 |
|---|---|
| Provider Enumeration Date | 01/02/2012 |
| Last Update Date | 01/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124398557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801085686 (Michigan) | Primary |
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