Individual
MRS. BEVERLY JEAN LOUDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
29260 FRANKLIN RD, SUITE 120, SOUTHFIELD, MI 48034-1161
(248) 355-4300
(248) 355-4393
Mailing address
16525 GLASTONBURY RD, DETROIT, MI 48219-4107
(313) 534-8027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801084370
MI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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