Individual
JOHN ANTHONY BRACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1401 E LANSING DR STE 111, EAST LANSING, MI 48823-2992
(517) 332-0153
Mailing address
1401 E LANSING DR STE 111, EAST LANSING, MI 48823-2992
(517) 332-0153
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016571
MI
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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