Individual
MISS BARBARA ANN NORTHRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17242 BENTLER ST, DETROIT, MI 48219-4746
(313) 535-8323
Mailing address
17242 BENTLER ST, DETROIT, MI 48219-4746
(313) 535-8323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801033936
MI
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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