Individual
KATHRYN BEATHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(855) 838-4222
Mailing address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(855) 838-4222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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