Mizera, Carin M

Mizera, Carin M is an sole proprietor health care provider with primary practice located at 205 W 2Nd St , Duluth MN 55802-1928. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mizera, Carin M can be contacted via phone (615) 631-7543.

Contact Information

Primary practice address
205 W 2Nd St Duluth MN 55802-1928
Phone: (615) 631-7543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12677131 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6986123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5075 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25089 Minnesota

Profile Details

NPI number 1205904521
LBN Legal business name Mizera, Carin M
Credentials DSW LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205904521 NPPES
Wisconsin MEDICAID 40957200

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