Individual
MR. BRYAN SIBILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5940 PINE VISTA ST SE, KENTWOOD, MI 49548-6884
(616) 821-9407
Mailing address
5940 PINE VISTA ST SE, KENTWOOD, MI 49548-6884
(616) 821-9407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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