Individual
LARA BRAZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMFT
Contact information
Practice address
2253 SOMERSET RD, BLOOMFIELD HILLS, MI 48302-0668
(248) 421-2376
Mailing address
2253 SOMERSET RD, BLOOMFIELD HILLS, MI 48302-0668
(248) 421-2376
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4151001119
MI
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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