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NPI Code Detail

MEDICARE: BRANDON LEE SEHEIN MSW, LCSW

MEDICARE: BRANDON LEE SEHEIN MSW, 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
11041C0700XClinical Social Worker252349KY

General Provider Information

NPI Number : 1295161115
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON LEE SEHEIN MSW, LCSW
Provider Business Mailing Address
First Line : 1106 TUNNEL HILL RD STE 100
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-8026
Country : US
Telephone Number : 270-765-2335
Fax Number : 270-765-2557
Provider Business Practice Location Address
First Line : 1106 TUNNEL HILL RD STE 100
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-8026
Country : US
Telephone Number : 270-765-2335
Fax Number : 270-765-2557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2013
Last Update Date : 04/14/2022

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