Individual
MS. BRENDA A BOUDREAUX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LMSW
Contact information
Practice address
33101 ANNAPOLIS ST, SUITE B, WAYNE, MI 48184-2405
(734) 721-0200
(734) 721-1766
Mailing address
9102 CHEYENNE, DETROIT, MI 48228
(313) 416-3133
(313) 416-3133
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801079489
MI
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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