BETHANY BASIRICO

DETROIT, MI
NPI1912297391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MI  6401010166)
Enumeration Date2011-04-19
Last Update Date2011-04-19
Business Address
-- BETHANY BASIRICO M.A., LPC, NCC, SCL
5716 MICHIGAN AVE
DETROIT, MI 48210-3039
Phone number: 313-963-2266
Mailing Address
-- BETHANY BASIRICO M.A., LPC, NCC, SCL
1902 ROSELAND AVE
ROYAL OAK, MI 48073-3931
Phone number: