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Individual

ERICH AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLMSW

Contact information

Practice address
3115 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 975-1602
(734) 975-1604
Mailing address
3115 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 975-1602
(734) 975-1604

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801100655
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801100655
SOCIAL WORK LICENSE
MI
Enumeration date
05/11/2017
Last updated
05/11/2017
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