Individual
MR. IVAN ARTHUR BISHAW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LBSW
Contact information
Practice address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(313) 213-5260
Mailing address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(313) 213-5070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802068733
MI
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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