Individual
BREANNA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21611 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1636
(586) 944-2902
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
104100000X
Social Worker
Primary
6801122507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0820444
—
MI
Enumeration date
12/10/2020
Last updated
06/26/2026
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