Individual
MS. BROOKE BENDIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 383-1897
(313) 383-6018
Mailing address
2015 N DAMEN AVE, APT. 1R, CHICAGO, IL 60647-4548
(248) 229-1198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0962301
BCBSM
MI
Enumeration date
04/03/2013
Last updated
12/17/2014
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