Individual
BRENNA COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED SOCIAL WORK
Contact information
Practice address
686 AUBURN ROAD HWY 14, NOTASULGA, AL 36866
(614) 403-7089
Mailing address
686 AUBURN ROAD HWY 14, NOTASULGA, AL 36866
(614) 403-7089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S090055-4
OH
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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