Individual
BRIA ANDERSON
Active
Individual
BRIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
28738
MD
1041C0700X
Clinical Social Worker
Primary
28738
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-5577533
NON MEDICARE
MD
05
—
47-5577533
—
MD
Enumeration date
09/13/2022
Last updated
11/30/2024
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