| Living Out Loud | |
|
22359 Saint Gertrude St Saint Clair Shores MI 48081-2526 | |
| (586) 945-4488 | |
| Not Available |
| Full Name | Living Out Loud |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22359 Saint Gertrude St, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Charlotte Beachem (CEO) |
| Authorized Official Contact | 5869454488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Out Loud 17301 Livernois Ave Suite 158 Detroit MI 48221-2758 Ph: (586) 738-0488 | Living Out Loud 22359 Saint Gertrude St Saint Clair Shores MI 48081-2526 Ph: (586) 945-4488 |
| NPI Number | 1366619389 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 04/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366619389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801088409 (Michigan) | Primary |
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