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NPI Code Detail

MEDICARE: AIISHA BRIGHT

MEDICARE: AIISHA BRIGHT
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
1251S00000XCommunity/Behavioral Health Agency
2104100000XSocial WorkerS.1904259OH

General Provider Information

NPI Number : 1245753292
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIISHA BRIGHT
Provider Business Mailing Address
First Line : 11156 CANAL RD STE A
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5816
Country : US
Telephone Number : 614-487-8758
Fax Number :
Provider Business Practice Location Address
First Line : 11156 CANAL RD STE A
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5816
Country : US
Telephone Number : 614-487-8758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2017
Last Update Date : 02/10/2021

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Directions to “ AIISHA BRIGHT ” Practice Location

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