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BRENNA COSBY LICENSED SOCIAL WORK

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1730436239

Individual Registrant:
 BRENNA  COSBY LICENSED SOCIAL WORK
Gender: F
Sole Proprietor

Location and contact information for practice:
686 AUBURN ROAD HWY 14  NOTASULGA, AL 36866 US
Tel: 614-403-7089  Fax: --

Contact information for business:
686 AUBURN ROAD HWY 14  NOTASULGA, AL 36866 US
Tel: 614-403-7089  Fax: --

Registration Information:
NPI: 1730436239
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
OHS090055-4

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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