BRIAN GRAHAM DATES

BLOOMFIELD HILLS, MI
NPI1700998457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301002841)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mr. BRIAN GRAHAM DATES M.A.
1750 S TELEGRAPH RD SUITE 101
BLOOMFIELD HILLS, MI 48302-0166
Phone number: 248-451-9085
Mailing Address
Mr. BRIAN GRAHAM DATES M.A.
16257 BIRWOOD AVE
BEVERLY HILLS, MI 48025-3343
Phone number: 248-645-5028
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