Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4287 | MO |
Y | 1041C0700X | Clinical Social Worker | 6801019053 | MI |
NPI | 1245470301 |
---|---|
Provider Name | Cherrye L Carr-Aguirre |
First Address | Lapeer, MI 48446-9454 |
Second Address | Lapeer, MI 48446-9454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2009 |
Last Update Date | 03/03/2009 |