Individual
ALEXANDRA BRANKOVICH-ESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 706-7994
Mailing address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 797-7920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801107678
MI
171M00000X
Case Manager/Care Coordinator
6801107678
MI
Other
Enumeration date
03/15/2022
Last updated
05/25/2022
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