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BRENNA COSBY LICENSED SOCIAL WORK
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1730436239
Individual Registrant: BRENNA COSBY LICENSED SOCIAL WORK
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
686 AUBURN ROAD HWY 14 NOTASULGA, AL 36866 US
Tel: 614-403-7089 Fax: --
Tel: 614-403-7089 Fax: --
Contact information for business:
686 AUBURN ROAD HWY 14 NOTASULGA, AL 36866 US
Tel: 614-403-7089 Fax: --
Tel: 614-403-7089 Fax: --
Registration Information:
NPI: 1730436239
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker | OH | S090055-4 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
