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1104181395
BREANNE NICKOLE SKIDMORE
COLUMBUS, OH
NPI
1104181395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH S 1100875)
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
-- BREANNE NICKOLE SKIDMORE LSW
1490 E MAIN ST
COLUMBUS, OH 43205-2140
Phone number: 614-252-0731
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Mailing Address
-- BREANNE NICKOLE SKIDMORE LSW
1511 RUNAWAY BAY DR APT. 1B
COLUMBUS, OH 43204-4811
Phone number: 440-313-5029
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