Individual
BETH BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW, CCMSW
Contact information
Practice address
16801 NEWBURGH RD, SUITE 109, LIVONIA, MI 48154-1606
(734) 377-4134
Mailing address
16801 NEWBURGH RD, SUITE 109, LIVONIA, MI 48154-1606
(734) 377-4134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091773
MI
1041C0700X
Clinical Social Worker
34005597A
IN
Other
Enumeration date
04/13/2009
Last updated
07/25/2010
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