Individual
AILEEN H PROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109
(734) 764-6443
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801085298
MI
1041C0700X
Clinical Social Worker
6801085298
MI
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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