Individual
MR. BRANDON EARL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
420 N LINCOLN AVE, LAKEVIEW, MI 48850-8500
(989) 352-1800
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090693
MI
Other
Enumeration date
07/07/2009
Last updated
09/24/2013
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