Breanna Trail

NPI #1245860717 in Manistique, Michigan

Provider Information

NPI Number: 1245860717
Entity Type: Individual
Name: Breanna Trail
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 125 N LAKE ST
City: Manistique
State: Michigan
ZIP Code: 49854-1234
Phone: (906) 341-2144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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