Individual
BRODIE JAMES LOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
(248) 727-3456
Mailing address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
(248) 727-3456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
6801115359
MI
1041C0700X
Clinical Social Worker
6851108233
MI
Other
Enumeration date
09/13/2019
Last updated
10/06/2022
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