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1952674657
BRANDON HAMILTON BASSHAM
GRAND RAPIDS, MI
NPI
1952674657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI L1998549)
Enumeration Date
2012-02-12
Last Update Date
2012-08-30
Business Address
Mr. BRANDON HAMILTON BASSHAM LMSW
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
Mr. BRANDON HAMILTON BASSHAM LMSW
2777 ROGUE RIVER RD NE
BELMONT, MI 49306-9749
Phone number: 989-284-1429
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