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MS. DIANE KAY BRAZILL MSW

Behavioral Health & Social Service Providers Social Worker

Provider NPI: 1467602623

Provider Information:
MS. DIANE KAY BRAZILL MSW
Gender: F
Not Sole Proprietor

Practice Location:
220 N 6TH AVE E  DULUTH, MN 55805-1952 US
Tel: 218-249-7000  Fax: 218-249-7050

Business Mailing Address:
220 N 6TH AVE E  DULUTH, MN 55805-1952 US
Tel: 218-249-7000  Fax: 218-249-7050

NPI Information:
NPI: 1467602623
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
WI127126-121
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
MN18361

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1041C0700X

Type:

Classification:



Definition:



MEDICAL JOBS MN - Page 1

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