Individual
MS. BEVERLY JILES STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
2755 COLLINGWOOD ST, DETROIT, MI 48206-1476
(313) 646-1863
(313) 894-7460
Mailing address
2755 COLLINGWOOD ST, DETROIT, MI 48206-1476
(313) 646-1863
(313) 894-7460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-04803
MI
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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