Individual
MR. BRANDEN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3351 EAGLE RUN DR NE, SUITE C, GRAND RAPIDS, MI 49525-7070
(616) 365-8920
(616) 365-8971
Mailing address
3351 EAGLE RUN DR NE, SUITE C, GRAND RAPIDS, MI 49525-7070
(616) 365-8920
(616) 365-8971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1329889
MI
Other
Enumeration date
05/01/2007
Last updated
07/20/2010
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