Individual
BREANNA LINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 712-0501
Mailing address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 712-0501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801106338
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0820444
—
MI
Enumeration date
12/10/2020
Last updated
12/10/2020
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