MEDICARE: BRIANNA MARIE EAROMIRSKI LCSW

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
1	1041C0700X	Clinical Social Worker	CW020429	PA

General Provider Information

NPI Number	:	1003158395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA MARIE EAROMIRSKI LCSW

Provider Business Mailing Address
First Line	:	2050 WATERFALL DR
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-8238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 CARLISLE ST UNIT 308
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-2472
Country	:	US
Telephone Number	:	717-356-0515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	09/27/2021

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