Individual
DANA BREEDING
Active
Individual
DANA BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I700231-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531450
ANTHEM PIN
OH
01
—
269354785001
MEDICAL MUTUAL LPIN
OH
Enumeration date
08/27/2007
Last updated
07/28/2023
Update your record
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