Individual
BREANNA MARIE BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089887
MI
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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