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Individual

MR. BRAD MALISZEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA LLPC BSW

Contact information

Practice address
38080 5 MILE RD, LIVONIA, MI 48154-1558
(734) 637-6478
Mailing address
38080 FIVE MILE RD, LIVONIA, MI 48154-1558
(734) 637-6478

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006894
MI
101YP2500X
Professional Counselor
L2266987
MI

Other

Enumeration date
10/18/2012
Last updated
04/04/2023
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