BRANDON HAMILTON BASSHAM

GRAND RAPIDS, MI
NPI1952674657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  L1998549)
Enumeration Date2012-02-12
Last Update Date2012-08-30
Business Address
Mr. BRANDON HAMILTON BASSHAM LMSW
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
Mailing Address
Mr. BRANDON HAMILTON BASSHAM LMSW
2777 ROGUE RIVER RD NE
BELMONT, MI 49306-9749
Phone number: 989-284-1429