Individual
BRYSON CUTLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
7676 MAIN STREET, PORT SANILAC, MI 48469
(810) 622-9610
(810) 622-7801
Mailing address
5434 LAKESHORE RD, DECKERVILLE, MI 48427-9629
(810) 941-5101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801103308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31954
NON-PROFIT
—
Enumeration date
10/19/2018
Last updated
10/19/2018
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