Most Relevant Information
Provider Data
| NPI Number: | 1003026089 |
| Provider Name: | MARY DECAROLIS LMSW, ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801077436 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 06/30/2016 |
Provider Practice Location
22101 MOROSS RD
DETROIT
MI
482362148
Practice Location Phone/Fax
| Phone: | 3134172769 |
| Fax: |
Provider Mailing Location
22101 MOROSS RD
DETROIT
MI
482362148
Provider Mailing Phone/Fax
| Phone: | 3134172769 |
| Fax: |