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Individual

JUSTIN NOBLE BROCKSCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLMSW

Contact information

Practice address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/15/2019
Last updated
06/06/2022
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