Individual
MRS. BRANDI JAI-TYLER MARABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
18244 W MCNICHOLS RD, DETROIT, MI 48219-4163
(313) 208-3407
(313) 209-4533
Mailing address
2510 LONGFELLOW ST, DETROIT, MI 48206-2076
(313) 673-6636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
N906539
MI
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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