Individual
JUDITH ANN BEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1700 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-7044
(616) 364-1500
(616) 364-6400
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801074337
MI
Other
Enumeration date
10/28/2008
Last updated
11/10/2008
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