Individual
MR. BRIAN LEE CECCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W
Contact information
Practice address
38251 GROESBECK HWY, CLINTON TWP., MI 48036
(586) 469-6210
Mailing address
1675 LONGFELLOW ST, DETROIT, MI 48206-2049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801019293
MI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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