Individual
MR. BRIAN JULIAN BOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, LLBSW
Contact information
Practice address
2933 E LARNED ST, DETROIT, MI 48207-3905
(313) 989-5911
Mailing address
2933 E LARNED ST, DETROIT, MI 48207-3905
(313) 989-5911
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087297
MI
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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