Individual
BREONNA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1111 40TH ST SW, GRAND RAPIDS, MI 49509-4407
(616) 241-6258
Mailing address
1111 40TH ST SW, GRAND RAPIDS, MI 49509-4407
(616) 241-6258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801105146
MI
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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