Individual
BREANNA RENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 N 2ND AVE, IRON RIVER, MI 49935-1451
(906) 265-5126
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 779-0549
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089587
MI
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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