Individual
ANNA BROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1000 HARRINGTON ST # MI, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(586) 493-8000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010206
MI
390200000X
Student in an Organized Health Care Education/Training Program
39
MI
390200000X
Student in an Organized Health Care Education/Training Program
6362010206
MI
Other
Enumeration date
07/21/2025
Last updated
08/11/2025
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