Individual
ABIGAIL C BREWSTER
Active
Individual
ABIGAIL C BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1802095
OH
1041C0700X
Clinical Social Worker
Primary
I.2102588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
06/15/2018
Last updated
03/22/2021
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