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Individual

BRIANNA LYNN EASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851111216
MI
106S00000X
Behavior Technician
OH

Other

Enumeration date
07/13/2020
Last updated
10/08/2021
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