KELLY MICHAEL BASSHAM

BIRMINGHAM, MI
NPI1023363488
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801090908)
Enumeration Date2012-07-20
Last Update Date2021-09-05
Business Address
Mr. KELLY MICHAEL BASSHAM LMSW
200 ELM ST STE 200D
BIRMINGHAM, MI 48009-6322
Phone number: 248-986-2991
Mailing Address
Mr. KELLY MICHAEL BASSHAM LMSW
200 ELM ST STE 200D
BIRMINGHAM, MI 48009-6322
Phone number: 248-986-2991
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