BRANDON CLINTON ALLEN

DETROIT, MI
NPI1437396819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
(Licence: MI  432065203)
Enumeration Date2009-01-07
Last Update Date2009-01-07
Business Address
Mr. BRANDON CLINTON ALLEN
12091 SORRENTO ST
DETROIT, MI 48227-3751
Phone number: 313-397-1884
Mailing Address
Mr. BRANDON CLINTON ALLEN
PO BOX 2172
SOUTHFIELD, MI 48037-2172
Phone number: 313-685-7811