| Carlene J Brockert Llc | |
|
22309 Mylls St Saint Clair Shores MI 48081-1342 | |
| (586) 944-4790 | |
| Not Available |
| Full Name | Carlene J Brockert Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22309 Mylls St, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Carlene J Brockert (OWNER) |
| Authorized Official Contact | 5869444790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlene J Brockert Llc 22309 Mylls St Saint Clair Shores MI 48081-1342 Ph: (586) 944-4790 | Carlene J Brockert Llc 22309 Mylls St Saint Clair Shores MI 48081-1342 Ph: (586) 944-4790 |
| NPI Number | 1780248724 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780248724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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