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Individual

BRISHIA LEE KLUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
794 PINE ST STE 230-O, MUSKEGON, MI 49442-1020
(231) 375-7873
(231) 788-9162
Mailing address
427 SEMINOLE RD STE 200A, NORTON SHORES, MI 49444-3747
(231) 375-7873
(231) 788-9162

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093366
MI

Other

Enumeration date
12/02/2011
Last updated
11/14/2023
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