Individual
GREGORY MARC BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
789 GOUCHER ST, JOHNSTOWN, PA 15905-3028
(814) 536-0798
Mailing address
789 GOUCHER ST, JOHNSTOWN, PA 15905-3028
(814) 536-0798
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/31/2021
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