Individual
BRENDA M BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
560 W LINFOOT ST, WAUSEON, OH 43567-9559
(419) 337-1973
(419) 335-6506
Mailing address
560 W LINFOOT ST, WAUSEON, OH 43567-9559
(419) 337-1973
(419) 335-6506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S1101109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S1101109
LICENSE
OH
Enumeration date
11/10/2017
Last updated
11/10/2017
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