Most Relevant Information
Provider Data
| NPI Number: | 1003374836 |
| Provider Name: | SARAH BETH BOVAN LLPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6401016922 |
Most Important Dates
| Enumeration Date: | 03/11/2019 |
| Last Updated: | 03/11/2019 |
Provider Practice Location
34935 SCHOOLCRAFT RD STE 207
LIVONIA
MI
481501317
Practice Location Phone/Fax
| Phone: | 7342377989 |
| Fax: |
Provider Mailing Location
2449 BLAINE ST
DETROIT
MI
482062219
Provider Mailing Phone/Fax
| Phone: | 3134101509 |
| Fax: |