Individual
BROGAN KERRYN SAN MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1270 DORIS RD, AUBURN HILLS, MI 48326-2617
(248) 276-8000
Mailing address
608 WRIGHT AVE, ALMA, MI 48801-1617
(989) 466-4152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102021
MI
Other
Enumeration date
03/19/2018
Last updated
02/14/2020
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