Individual
BREANNE NICKOLE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1511 RUNAWAY BAY DR, APT. 1B, COLUMBUS, OH 43204-4811
(440) 313-5029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S 1100875
OH
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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