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Starr Isabelle Bryan I, BSW
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1275202707

Starr Isabelle Bryan I is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Starr Isabelle Bryan I practices in Southfield, MI and has the professional credentials of BSW. The NPI Number for Starr Isabelle Bryan I is 1275202707 and holds a License No. (Michigan).

The current practice location address for Starr Isabelle Bryan I is 17320 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-727-3456.

Location: 17320 W 12 Mile Rd, Southfield, MI, 48076-2100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275202707
Provider Name
Starr Isabelle Bryan I
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
17320 W 12 Mile Rd, Southfield, MI, 48076-2100
Phone Number
248-727-3456
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17320 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2100
Phone Number
248-727-3456
Fax Number
person
Provider Business Mailing Address Details
Address
17320 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2100
Phone Number
248-727-3456
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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