| Brosh Inc | |
|
4820 Oak Knob Run Fort Wayne IN 46845-8939 | |
| (260) 249-5432 | |
| Not Available |
| Full Name | Brosh Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4820 Oak Knob Run, Fort Wayne, Indiana |
| Authorized Official Name and Position | Bree Ricker (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2602495432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brosh Inc 4820 Oak Knob Run Fort Wayne IN 46845-8939 Ph: () - | Brosh Inc 4820 Oak Knob Run Fort Wayne IN 46845-8939 Ph: (260) 249-5432 |
| NPI Number | 1164060653 |
|---|---|
| Provider Enumeration Date | 12/15/2019 |
| Last Update Date | 12/15/2019 |
| Certification Date | 12/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164060653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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