Individual
BREA STAR DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
902 GALLIA ST, PORTSMOUTH, OH 45662-4139
(740) 529-2125
Mailing address
1727 ECHO DR, IRONTON, OH 45638-2320
(740) 302-5028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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