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NPI Code Detail

MEDICARE: JULIE ANNE BROUHARD LMSW

MEDICARE:   JULIE ANNE BROUHARD  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801091900MI

General Provider Information

NPI Number : 1841577731
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANNE BROUHARD LMSW
Provider Business Mailing Address
First Line : 136 HIGHLAND DR
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0357
Country : US
Telephone Number : 248-517-3300
Fax Number :
Provider Business Practice Location Address
First Line : 136 HIGHLAND DR
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0357
Country : US
Telephone Number : 248-517-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2011
Last Update Date : 02/08/2025

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Directions to “ JULIE ANNE BROUHARD LMSW” Practice Location

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