Individual
BREANNA JOY GREENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
4720 BURNING TREE ROAD, BIRCH TREE CENTER, DULUTH, MN 55811
(218) 623-1800
Mailing address
5723 TACONY ST, DULUTH, MN 55807-1258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19618
MN
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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