Individual
BRIAN SCOTT KITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
835 MASON ST STE B220, DEARBORN, MI 48124-2262
(313) 561-9064
(313) 563-4480
Mailing address
835 MASON ST STE B220, DEARBORN, MI 48124-2262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017331
MI
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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