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Individual
MRS. RONNIE ISRAELSON BRZEZINSKI
Active
Individual
MRS. RONNIE ISRAELSON BRZEZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
839
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140000839CT01
ANTHEM BLUE CROSS/BLUE SH
CT
01
—
7496215
VALUE OPTIONS
CT
01
—
P400574
OXFORD
CT
Enumeration date
08/30/2006
Last updated
07/08/2007
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