Individual
DANIEL J. BROCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1560 FISHINGER RD, COLUMBUS, OH 43221-2108
(614) 457-7876
(614) 457-7896
Mailing address
1560 FISHINGER RD, COLUMBUS, OH 43221-2108
(614) 457-7876
(614) 457-7896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0008808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW22461
MEDICARE
OH
Enumeration date
10/28/2009
Last updated
10/28/2009
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