Individual
BETHANY ABIGAIL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 AXTELL DR, #100, TROY, MI 48084-4404
(248) 613-5377
Mailing address
816 KNOWLES ST, ROYAL OAK, MI 48067-3718
(248) 259-6583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801089605
MI
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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