Individual
MRS. CHARMAIN ILYCE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LLMSW
Contact information
Practice address
2134 BEAUFAIT DR, GROSSE POINTE WOODS, MI 48236-1643
(517) 214-5199
Mailing address
2134 BEAUFAIT DR, GROSSE POINTE WOODS, MI 48236-1643
(517) 214-5199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851117501
MI
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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