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Individual

BRIANNA FLOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLBSW/QIDP

Contact information

Practice address
3353 LOUSMA DR SE, WYOMING, MI 49548-2251
(616) 241-6258
Mailing address
3874 KEEWEENAW DR NE, GRAND RAPIDS, MI 49525-2054

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6802089473
MI
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
320900000X
MI
Enumeration date
05/03/2018
Last updated
05/03/2018
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