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Individual
MS. KIRA J BRISSENDEN II
Active
Individual
MS. KIRA J BRISSENDEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
989115
CO
1041C0700X
Clinical Social Worker
989115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42801265
—
CO
Enumeration date
03/21/2007
Last updated
07/11/2019
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