Individual
ASHLEY BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
22079 DONALD AVE, EASTPOINTE, MI 48021-2436
(313) 263-8740
Mailing address
19532 RIDGEMONT ST, SAINT CLAIR SHORES, MI 48080-1615
(313) 263-8740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801097150
MI
1041C0700X
Clinical Social Worker
Primary
6801110842
MI
Other
Enumeration date
07/23/2014
Last updated
09/13/2021
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