Individual
AMY L VANBRUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2751 E JEFFERSON AVE, DETROIT, MI 48207-4180
(313) 993-3434
Mailing address
3800 WOODWARD AVE, STE 600, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801069031
MI
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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