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NPI Profile for MARILYN K BRIMMAGE in MOUNT OLIVE, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Prevention Professional |
405300000X |
| NPI Number | 1194368431 |
|
| Status | Active | |
| Credentials | MA LPCA LCASA | |
| Entity | Individual | |
| Enumeration date | 10/18/2019 | |
| Last updated | 10/21/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARILYN K BRIMMAGE
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MARILYN K BRIMMAGE, MA LPCA LCASA