Individual
BRODY MANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 PACKARD ST, ANN ARBOR, MI 48104-6827
(734) 277-7565
Mailing address
2500 PACKARD ST, ANN ARBOR, MI 48104-6827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102125
—
Other
Enumeration date
10/28/2018
Last updated
10/28/2018
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