Individual
CHAD BRYNLY CUBBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.S.W.
Contact information
Practice address
7 W SQUARE LAKE RD STE 111, BLOOMFIELD HILLS, MI 48302-0462
(248) 452-4640
(248) 452-5681
Mailing address
7 W SQUARE LAKE RD STE 111, BLOOMFIELD HILLS, MI 48302-0462
(248) 452-5640
(248) 452-5681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801117643
MI
Other
Enumeration date
09/09/2019
Last updated
08/25/2024
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