Individual
ALEXANDER BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 E JOLLY RD, 111, LANSING, MI 48910-6818
(517) 346-8312
Mailing address
812 E JOLLY RD, LANSING, MI 48910-6818
(513) 734-6820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012871
MI
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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