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Individual

MS. BRENETTA DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3093 SASHABAW RD, WATERFORD, MI 48329-4089
(734) 686-2304
Mailing address
2 HIGHLAND TER, WHITE LAKE, MI 48386-1948
(734) 686-2304

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
225700000X
Massage Therapist
Primary
7501016641
MI

Other

Enumeration date
11/27/2007
Last updated
01/13/2025
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