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Individual
BRANDON RAINWATER
Active
Individual
BRANDON RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9925
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/21/2019
Last updated
10/25/2024
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