Organization
BROSH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREE RICKER MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(260) 249-5432
Entity
Organization
Contact information
Practice address
4820 OAK KNOB RUN, FORT WAYNE, IN 46845-8939
(260) 249-5432
Mailing address
4820 OAK KNOB RUN, FORT WAYNE, IN 46845-8939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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