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Individual
KIMBERLY H BRENNER
Active
Individual
KIMBERLY H BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23691
TX
1041C0700X
Clinical Social Worker
32691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073KM
BLUE CROSS BLUE SHIELD
TX
05
—
159603301
—
TX
05
—
32449033
—
TX
01
—
515889
VALUE OPTIONS
TX
01
—
555122000
MAGELLAN
TX
Enumeration date
07/27/2006
Last updated
12/20/2024
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