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Carole Boris

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Carole Boris does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1356371090
Provider Type
Individual
Full Name
Boris, Carole
Title
Ms.
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
7/4/2006
Last Updated
4/2/2012

Contact Information

Practice Location

701 Argentine Rd, Howell, MI 48843-6827

(517) 552-6043

Unlisted Fax

Mailing Location

PO Box 2356, Howell, MI 48844

(517) 545-4877

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801062670 Michigan

Provider Identifiers

ID	Description	Issuer
ID 800892934	Description Other	Issuer BCBS

Carole Boris

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Roush, Madison Mackenzie

Anttila, Vanessa

Eads, Andrea

Rockowiak, Angela

Belloli, Joanne Marie

Young, Harold Dennis

Grabow, Christine

Rembisz, John Joseph

Evans, Kate

Southwell, Laura Ann