Individual
BRANDON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
30101 HOOVER RD STE 1, WARREN, MI 48093-6572
(586) 558-6868
Mailing address
46941 CRESTVIEW DR, MACOMB, MI 48044-3203
(586) 291-1833
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102509
MI
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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