Individual
BREANNA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(888) 813-8326
Mailing address
35550 MARY ST, ROMULUS, MI 48174-4116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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