Individual
SUZANNE ELIZABETH BOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Contact information
Practice address
279 ASHLEY WOODS CT, CLAYTON, NC 27527-9334
(313) 770-6846
Mailing address
279 ASHLEY WOODS CT, CLAYTON, NC 27527-9334
(313) 770-6846
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801064436
MI
1041S0200X
School Social Worker
6801064436
MI
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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