Provider Information for 1033515309
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ELIZABETH MARGARET BRENNAN LMSW, D-PC
Other Names:Former Name:ELIZABETH MARGARET BROUWER LLMSW, D-PCSex: Female
NPI: 1033515309
Last Updated: 2021-08-25
Certification Date: 2021-08-25
Certification Date: 2021-08-25
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1033515309 | ||||||||||||||||||||
| Enumeration Date | 2014-11-13 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 677 EAST MAIN STREET CENTREVILLE, MI 46032 United States Phone: 269-467-1000 | Fax:269-467-3072 | ||||||||||||||||||||
| Primary Practice Address | 677 EAST MAIN STREET CENTREVILLE, MI 49032 United States Phone: 269-467-1000 | Fax:269-467-3072 | ||||||||||||||||||||
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