MR. Kelly Michael Bassham, LMSW
NPI #1023363488 in Birmingham, Michigan
Provider Information
- NPI Number
- 1023363488
- Entity Type
- Individual
- Name
- MR. Kelly Michael Bassham, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW
- Enumeration Date
- Jul 20, 2012
- Last Updated
- Sep 5, 2021
Practice Location
- Address
- 200 ELM ST STE 200D
- City
- Birmingham
- State
- Michigan
- ZIP Code
- 48009-6322
- Phone
- (248) 986-2991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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