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NPI Code Detail

MEDICARE: BRIJETTE FENELLA MORRIS LSW

MEDICARE: BRIJETTE FENELLA MORRIS LSW
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 WorkerSW124399PA

General Provider Information

NPI Number : 1396882379
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIJETTE FENELLA MORRIS LSW
Provider Business Mailing Address
First Line : 332 FOX MINE RD
Second Line :
City : JACKSON CENTER
State : PA
Zip : 16133-1418
Country : US
Telephone Number : 724-376-4305
Fax Number :
Provider Business Practice Location Address
First Line : 456 N PITT ST
Second Line :
City : MERCER
State : PA
Zip : 16137-1129
Country : US
Telephone Number : 724-662-7202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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Directions to “ BRIJETTE FENELLA MORRIS LSW” Practice Location

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