Individual
MS. BRIETTA L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
168 S HOWELL ST, HILLSDALE, MI 49242-2040
(800) 968-6866
Mailing address
1161 58TH ST SW, WYOMING, MI 49509-9536
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801096504
MICHIGAN DEPT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
11/13/2018
Last updated
11/13/2018
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