Individual
MISS BREANNAH NIKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 PEARL ST, YPSILANTI, MI 48197-2663
(734) 945-6210
(734) 822-0119
Mailing address
124 PEARL ST, YPSILANTI, MI 48197-2663
(734) 945-6210
(734) 822-0119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851120997
MI
Other
Enumeration date
05/01/2017
Last updated
12/16/2025
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