Breanne Weatherford, LLMSW
Social Worker, Clinical in Troy, MI. Individual provider (NPI-1).
NPI number1629453048
StatusActive
Last updated in NPPESJul 19, 2016
Details
- NPI
- 1629453048
- Entity type
- Individual (NPI-1)
- Name
- Ms. Breanne Weatherford
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2015
- Last updated
- Jul 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801097976 | MI | Yes |
Practice location
1225 E Big Beaver RdTroy, MI 48083-1905
Phone 248-524-8850 · Fax 248-524-8825
Mailing address
1225 E Big Beaver RdTroy, MI 48083-1905
Phone 248-524-8801 · Fax 248-524-8850
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