Individual
DAKOTA BRASSEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
1128 WIDDICOMB AVE NW, GRAND RAPIDS, MI 49504-4132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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