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NPI Code Detail

MEDICARE: ELIZABETH IRENE WILL BRAHAN LCSW

MEDICARE: ELIZABETH IRENE WILL BRAHAN 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 Worker12775-123WI

General Provider Information

NPI Number : 1952935850
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH IRENE WILL BRAHAN LCSW
Provider Business Mailing Address
First Line : 1000 STARR AVE
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-1821
Country : US
Telephone Number : 715-858-4850
Fax Number :
Provider Business Practice Location Address
First Line : 1000 STARR AVE
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-1821
Country : US
Telephone Number : 715-858-4850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2020
Last Update Date : 03/20/2026

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