Individual
MS. CORAL ANNE BRENNEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
115 W MAIN ST STE B, BENTON HARBOR, MI 49022-3663
(269) 934-9123
(269) 934-9347
Mailing address
209 N KIMMEL ST, BERRIEN SPRINGS, MI 49103-1121
(269) 473-2507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34004736A
IN
1041C0700X
Clinical Social Worker
Primary
6801086647
MI
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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