Individual
MR. BRYAN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 TEMPLE ST, DETROIT, MI 48201-2599
(313) 344-9099
Mailing address
623 OXFORD RD, ANN ARBOR, MI 48104-2654
(734) 536-6276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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