Individual
AMY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
(810) 985-5127
Mailing address
621 GARDENIA AVE, ROYAL OAK, MI 48067-3699
(248) 250-2391
(810) 985-5127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801060502
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801030502
STATE LICENSE NUMBER
MI
Enumeration date
07/15/2016
Last updated
07/15/2016
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