Individual
MS. DIANE KAY BRAZILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
(218) 249-7050
Mailing address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
(218) 249-7050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
127126-121
WI
1041C0700X
Clinical Social Worker
Primary
18361
MN
Other
Enumeration date
09/24/2008
Last updated
09/06/2017
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