Individual
BRANDON LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17141 RYAN RD, DETROIT, MI 48212-1112
(313) 733-4859
Mailing address
17421 TELEGRAPH RD, DETROIT, MI 48219-3165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801121467
MI
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
02/26/2026
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