Individual
ELEANOR V BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2329 W GRAND BLVD, DETROIT, MI 48208-1205
(313) 874-3129
(313) 875-5442
Mailing address
2329 W GRAND BLVD, DETROIT, MI 48208-1205
(313) 874-3129
(313) 875-5442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801019012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801019012
BLUE CROSS BLUE SHEILD
MI
Enumeration date
06/02/2008
Last updated
10/09/2008
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