Most Relevant Information
Provider Data
| NPI Number: | 1003248360 |
| Provider Name: | ROBERT BRAY LBSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6802059687 |
Most Important Dates
| Enumeration Date: | 08/08/2013 |
| Last Updated: | 08/08/2013 |
Provider Practice Location
642 E 9 MILE RD
FERNDALE
MI
482201962
Practice Location Phone/Fax
| Phone: | 2486586087 |
| Fax: | 2485473052 |
Provider Mailing Location
642 E 9 MILE RD
FERNDALE
MI
482201962
Provider Mailing Phone/Fax
| Phone: | 2486586087 |
| Fax: | 2485473052 |