Individual
MR. BRADLEY LEE HOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
213 WILLIAMS ST, PETOSKEY, MI 49770-2547
(231) 881-0288
Mailing address
213 WILLIAMS ST, PETOSKEY, MI 49770-2547
(231) 881-0288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093579
MI
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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