Individual
SAMUEL LEWIS BRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
801 HAZEN ST STE C, PAW PAW, MI 49079-2008
(269) 657-5574
(269) 657-6523
Mailing address
PO BOX 249, PAW PAW, MI 49079-0249
(269) 657-5574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401019495
MI
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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