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NPI Code Detail

MEDICARE: MS. BRIAH SNOWDEN LMSW, BS

MEDICARE:  MS. BRIAH  SNOWDEN  LMSW, BS
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
1104100000XSocial Worker150.107527IL

General Provider Information

NPI Number : 1043959240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRIAH SNOWDEN LMSW, BS
Provider Business Mailing Address
First Line : 1600 PINE ST APT 614
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-2373
Country : US
Telephone Number : 314-240-2104
Fax Number :
Provider Business Practice Location Address
First Line : 2151 W 79TH ST STE 2
Second Line :
City : CHICAGO
State : IL
Zip : 60620-5723
Country : US
Telephone Number : 312-757-0608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2022
Last Update Date : 06/03/2022

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Directions to “ MS. BRIAH SNOWDEN LMSW, BS” Practice Location

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