Individual
BRANDI N VANKLOMPENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
570 CLINTON ST, DETROIT, MI 48226-2334
(313) 224-0706
Mailing address
7561 NW 16TH ST APT 2208, PLANTATION, FL 33313-5127
(616) 848-4361
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016650
MI
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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