Individual
MR. BRANDON HAMILTON BASSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
2777 ROGUE RIVER RD NE, BELMONT, MI 49306-9749
(989) 284-1429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1998549
MI
Other
Enumeration date
02/12/2012
Last updated
08/30/2012
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