Individual
BRANDAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 W SOUTH ST STE B, KALAMAZOO, MI 49007-4664
(269) 205-8566
(269) 585-5954
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096545
MI
Other
Enumeration date
09/30/2014
Last updated
12/16/2020
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