Individual
MRS. AUDRA IRVETTE BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, SSW
Contact information
Practice address
4000 W WALTON BLVD STE A-B, WATERFORD, MI 48329-4191
(248) 461-6266
(248) 461-6304
Mailing address
623 ALTON AVE, PONTIAC, MI 48341-2609
(248) 892-5608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MI
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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