Individual
MISS LESLIE MARIE BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LLP
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4931
Mailing address
23243 15 MILE RD, APT. # 113, CLINTON TOWNSHIP, MI 48035-3196
(586) 791-7077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6301006716
MI
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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