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Individual
DESIREE M BRINSON
Active
Individual
DESIREE M BRINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326012360
—
OH
Enumeration date
09/01/2021
Last updated
03/16/2022
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