NPI | 1780326934 |
---|---|
Doing Business As | LESA BRENNER THERAPY |
Entity Type | Organization |
Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Enumeration Date | 2022-04-08 |
Last Update Date | 2023-05-04 |