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NPI Code Detail

MEDICARE: JENNIFER LYNNE BRAMMER MSW

MEDICARE: JENNIFER LYNNE BRAMMER MSW
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 Worker6801109533MI

General Provider Information

NPI Number : 1891463923
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNNE BRAMMER MSW
Provider Business Mailing Address
First Line : 106 S MADISON ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2320
Country : US
Telephone Number : 231-935-6650
Fax Number :
Provider Business Practice Location Address
First Line : 10161 E PICKWICK CT
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-5239
Country : US
Telephone Number : 231-261-1942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2021
Last Update Date : 01/13/2026

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