Individual
MR. BRANDON LAMAR TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
30800 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-2569
(734) 383-6588
Mailing address
30800 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-2569
(734) 383-6588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104317
MI
Other
Enumeration date
12/04/2019
Last updated
11/06/2020
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