Individual
BRYAN W MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 S WASHINGTON RD, SAGINAW, MI 48601-4958
(989) 755-1072
Mailing address
1013 N RIVER RD, SAGINAW, MI 48609-6833
(989) 596-3558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M560098887254
DRIVER LICENSE
MI
Enumeration date
07/16/2019
Last updated
07/16/2019
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