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NPI Code Detail

MEDICARE: MS. BRITTANY MARIE COWART LSW

MEDICARE:  MS. BRITTANY MARIE COWART  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 WorkerS1502430OH

General Provider Information

NPI Number : 1891200390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRITTANY MARIE COWART LSW
Provider Business Mailing Address
First Line : 442 SYCAMORE DR
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6442
Country : US
Telephone Number : 616-826-1778
Fax Number :
Provider Business Practice Location Address
First Line : 1785 BIG HILL RD
Second Line :
City : DAYTON
State : OH
Zip : 45439-2219
Country : US
Telephone Number : 937-264-0084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2017
Last Update Date : 12/06/2017

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Directions to “ MS. BRITTANY MARIE COWART LSW” Practice Location

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