Individual
AKASH BARDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 48236-2893
(313) 775-0331
Mailing address
3123 BELMONT ST, HAMTRAMCK, MI 48212-3352
(313) 775-0331
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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