Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CW020429 | PA |
NPI | 1003158395 |
---|---|
Provider Name | Brianna Marie Earomirski |
First Address | Hanover, PA 17331-8238 |
Second Address | Hanover, PA 17331-2472 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 27/09/2021 |