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Individual

MS. BEATA JEDRZEJCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLMSW

Contact information

Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-8816
Mailing address
4807 AUDUBON DR, WARREN, MI 48092-4306
(313) 806-2289

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851106927
MI
1041C0700X
Clinical Social Worker
6851106927
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6851106927
MI
Enumeration date
08/30/2021
Last updated
09/27/2021
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