Individual
PEGGY BRILLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-5037
(785) 239-7291
Mailing address
600 CAISSON HILL RD, FORT RILEY, KS 66442-5037
(785) 239-7291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
651
HI
1041C0700X
Clinical Social Worker
Primary
438
CO
Other
Enumeration date
02/12/2009
Last updated
01/05/2010
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