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Individual
KAITLIN BRAZIL
Active
Individual
KAITLIN BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PCMSW, PLMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11747
STATE LICENSE
NE
01
—
7331
STATE LICENSE
NE
Enumeration date
01/30/2019
Last updated
05/20/2021
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