Individual
BRADLEY MICHAEL FOTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1217 S EUCLID AVE, BAY CITY, MI 48706-3311
(989) 667-9661
(989) 667-9680
Mailing address
1217 S EUCLID AVE, BAY CITY, MI 48706-3311
(989) 667-9661
(989) 667-9680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104686
MI
Other
Enumeration date
02/26/2018
Last updated
07/15/2019
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