Monique Branham
Case Manager/Care Coordinator in Willoughby, OH. Individual provider (NPI-1).
NPI number1336979335
StatusActive
Last updated in NPPESSep 25, 2024
Details
- NPI
- 1336979335
- Entity type
- Individual (NPI-1)
- Name
- Monique Branham
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2024
- Certification date
- Sep 25, 2024
- Last updated
- Sep 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OH | Yes |
| 376J00000X | Homemaker | – | – |
Practice location
38355 Tamarac Blvd Apt 110Willoughby, OH 44094-8199
Phone 440-523-8753
Mailing address
38355 Tamarac Blvd Apt 110Willoughby, OH 44094-8199
Phone 440-523-8753
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