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Individual
PATRICIA F BEACH
Active
Individual
PATRICIA F BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW, BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801014015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11543639
CAQH
MI
01
—
253315
COMP PSYCH
MI
01
—
359631
MHN
MI
01
—
4449385
AETNA INS CO
MI
Enumeration date
06/30/2006
Last updated
07/08/2007
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