Individual
BRIAN J HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, LSW, CAC, CBIS
Contact information
Practice address
2848 CUMBERLAND RD, BERKLEY, MI 48072-1575
(248) 709-6794
Mailing address
2848 CUMBERLAND RD, BERKLEY, MI 48072-1575
(248) 709-6794
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802065712
MI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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