Individual
BRIAN BROSNAN
Active
Individual
BRIAN BROSNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C004936
NC
1041C0700X
Clinical Social Worker
Primary
LCSW112491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139RU
BCBS NC
NC
05
—
6003506
—
NC
Enumeration date
08/25/2005
Last updated
02/24/2023
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