Individual
MISS SHELLEY M BRANDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1029 N 3RD ST, SUITE B, MARQUETTE, MI 49855-3509
(906) 226-7410
Mailing address
1029 N 3RD ST, SUITE B, MARQUETTE, MI 49855-3509
(906) 226-7410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401006918
MI
104100000X
Social Worker
6802080124
MI
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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