Individual
KANISHA L BRINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 W MAIN ST, GREENFIELD, IN 46140-2387
(317) 517-8125
Mailing address
1363 WHITE BIRCH LN, GREENFIELD, IN 46140-7142
(317) 517-8125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055780
—
IN
Enumeration date
01/15/2022
Last updated
01/15/2022
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