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Individual

JENNIFER BRAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLBSW

Contact information

Practice address
690 S TRUMBULL ST, BAY CITY, MI 48708-7692
(989) 922-4900
(989) 922-4911
Mailing address
MCLAREN BAY PSYCHIATRIC ASSOCIATES, 690 S. TRUMBULL ST, BAY CITY, MI 48708-7692
(989) 922-4900
(989) 922-4911

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089323
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6802089323
STATE OF MICHIGAN LICENSE
MI
Enumeration date
05/26/2017
Last updated
07/21/2022
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