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Individual

BRIRON SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163W00000X
Registered Nurse
Primary
217715
LA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/23/2016
Last updated
07/12/2021
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