Individual
MRS. AUTUMN RAY BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1003 GLENHILL DR, NORTHVILLE, MI 48167-1069
(313) 478-3438
Mailing address
1003 GLENHILL DR, NORTHVILLE, MI 48167-1069
(313) 478-3438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093903
MI
Other
Enumeration date
05/01/2012
Last updated
08/18/2021
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