SAMUEL LEWIS BRODE

PAW PAW, MI
NPI1780351122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6401019495)
Enumeration Date2021-08-24
Last Update Date2021-08-24
Business Address
SAMUEL LEWIS BRODE LPC
801 HAZEN ST STE C
PAW PAW, MI 49079-2008
Phone number: 269-657-5574
Mailing Address
SAMUEL LEWIS BRODE LPC
PO BOX 249
PAW PAW, MI 49079-0249
Phone number: 269-657-5574