Individual
SANDRA A. BRONSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 231-1209
Mailing address
PO BOX 366, LAKELAND, MI 48143-0366
(810) 231-1209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801072632
MI
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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