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Individual
KIMBERLY BRANTIGAN
Active
Individual
KIMBERLY BRANTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401020275
MI
101Y00000X
Counselor
—
—
Other
Enumeration date
02/10/2017
Last updated
10/28/2024
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