Individual
KIMBERLY BRANTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 BUTTERFIELD DR STE 150, TROY, MI 48084-3478
(800) 693-1916
(248) 605-3525
Mailing address
20065 PLANTATION LN, BEVERLY HILLS, MI 48025-5049
(313) 506-6807
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401020275
MI
101Y00000X
Counselor
—
—
Other
Enumeration date
02/10/2017
Last updated
10/28/2024
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