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1174280002
BASSHAMDBT LLC
BIRMINGHAM, MI
NPI
1174280002
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Entity Type
Organization
Authorized Contact
KELLY MICHAEL BASSHAM
CEO
248-986-2991
Organization Subpart ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2021-11-28
Last Update Date
2021-11-28
Business Address
BASSHAMDBT LLC
200 ELM ST STE 200D
BIRMINGHAM, MI 48009-6322
Phone number: 248-986-2991
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Mailing Address
BASSHAMDBT LLC
200 ELM ST STE 200D
BIRMINGHAM, MI 48009-6322
Phone number: 248-986-2991
Copy
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