Brittany Lane Province, LMSW

NPI #1366186140 in Council Bluffs, Iowa

Provider Information

NPI Number: 1366186140
Entity Type: Individual
Name: Brittany Lane Province, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Apr 26, 2022
Last Updated: Apr 26, 2022

Practice Location

Address: 136 S MAIN ST
City: Council Bluffs
State: Iowa
ZIP Code: 51503-9037
Phone: (712) 458-6201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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