TEQUILLA BREW-CHANN
Social Worker - Clinical
Active
Individual
NPI: 1467209437
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | No | LCSW95036 (CA) |
Frequently Asked Questions
NPI 1467209437 is the National Provider Identifier for TEQUILLA BREW-CHANN, a Social Worker - Clinical provider located in Canton, GA. This NPI was enumerated on May 6, 2024.
TEQUILLA BREW-CHANN practices at 133 STARGAZE RDG, Canton, GA 30114.
Quick Facts
- NPI
- 1467209437
- Type
- Individual
- Enumerated
- May 6, 2024
- Last Updated
- Oct 29, 2025
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