Individual
BREANNA JOHNSTONBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 HOSPITAL RD, BROOKVILLE, PA 15825-1367
(814) 849-1396
Mailing address
100 HOSPITAL RD, BROOKVILLE, PA 15825-1367
(814) 849-1396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131836
PA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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