Individual
CHARLES EDWARD BRINICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
141 MARKET ST, BLOOMSBURG, PA 17815-1114
(570) 854-5000
Mailing address
1110 LIGHTSTREET RD, BLOOMSBURG, PA 17815-9584
(570) 854-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW122561
PA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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