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NPI Code Detail

MEDICARE: MISS MORGAN ASHLEY BRENNER BSW

MEDICARE: MISS MORGAN ASHLEY BRENNER BSW
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 WorkerS.1802189OH

General Provider Information

NPI Number : 1497245468
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MORGAN ASHLEY BRENNER BSW
Provider Business Mailing Address
First Line : 774 INTERNET DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-2589
Country : US
Telephone Number : 614-443-5454
Fax Number : 614-737-5248
Provider Business Practice Location Address
First Line : 774 INTERNET DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-2589
Country : US
Telephone Number : 614-443-5454
Fax Number : 614-737-5248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2018
Last Update Date : 05/15/2018

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Directions to “ MISS MORGAN ASHLEY BRENNER BSW” Practice Location

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