Individual
BEVERLY J WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13982 PIEDMONT ST, DETROIT, MI 48223-2945
(313) 680-4939
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851092930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6851092930
MEDICAID
MI
Enumeration date
09/02/2021
Last updated
09/02/2021
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