Terry D Brenner MSW

NPI 1912036955 - Social Worker - 104100000X

NPI Details
NPI 1912036955
Gender Male
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
403 E MADISON ST
SOUTH BEND IN, 46617-2322, US
Phone (574) 283-1107
Fax (574) 283-1131
Business Location
748 MAPLE ST
NILES MI, 49120-3255, US
Phone (269) 683-8751
Fax
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Terry D Brenner MSW NPI is 1912036955, taxonomy code is 104100000X Terry D Brenner MSW physically located at 403 E Madison St, South Bend IN, 46617-2322. NPI Number Terry D Brenner MSW has the Individual type.

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1912036955 NPI number is provided on an as is basis without warranty of any kind. 1912036955 is maintained by the National Plan & Provider Enumeration System. The contents of Terry D Brenner MSW are for informational purposes only.