Individual
MRS. BEATRICE TYUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20816 E 11 MILE RD, SUITE 101, SAINT CLAIR SHORES, MI 48081-1565
(313) 303-9419
Mailing address
19380 WOODCREST ST, HARPER WOODS, MI 48225-2059
(313) 245-1072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C01553
MI
1041C0700X
Clinical Social Worker
Primary
6801085750
MI
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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