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Individual

BRIANNE MICHELLE SPERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
174 LMAH CENTER RD, LOGAN, WV 25601-4058
(304) 792-7130
(304) 896-5184
Mailing address
PO BOX 176, LOGAN, WV 25601-0176
(304) 792-7130
(304) 896-5184

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
BP00944055
WV
1041C0700X
Clinical Social Worker
Primary
DP00944055
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP00944055
WV BOARD OF SOCIAL WORK
WV
01
DP00944055
WV BOARD OF SOCIAL WORK
WV
Enumeration date
05/03/2007
Last updated
03/11/2026
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