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Individual

MR. CAMBRON BRYCE MCCUTCHEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LLP,CAADC

Contact information

Practice address
5955 W MAIN ST, KALAMAZOO, MI 49009-8700
(312) 543-7445
Mailing address
869 N 16TH ST, OTSEGO, MI 49078-9733
(312) 543-7445

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6361007161
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6361007161
MICHIGAN DEPARTMENT OF LICENSING
MI
Enumeration date
01/20/2011
Last updated
08/04/2020
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