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Individual

JOSHUA BRENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5022 CAMPBELL BLVD STE L, NOTTINGHAM, MD 21236
(443) 442-1568
Mailing address
2504 CHESTNUT WOODS CT, REISTERSTOWN, MD 21136-5523
(443) 324-3405

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24561
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02021970
MD
Enumeration date
03/05/2019
Last updated
05/11/2026
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