Individual
BRIYANNA FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 N MICHIGAN AVE, SAGINAW, MI 48602-4751
(989) 401-9015
Mailing address
1320 N MICHIGAN AVE, SAGINAW, MI 48602-4751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801107079
MI
Other
Enumeration date
10/28/2016
Last updated
06/29/2020
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