# ROBERT BRANDENBURG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083912901
- **Authorized official:** MR. ROBERT LYNN BRANDENBURG SR. LCSW (THERAPIST)
- **Authorized official phone:** (775) 359-1199

## Contact information

- **Practice address:** 2225 N MCCARRAN BLVD, SPARKS, NV 89431-3365
- **Practice address phone:** (775) 359-1199
- **Practice address fax:** (775) 359-1195
- **Mailing address:** 2225 N MCCARRAN BLVD, SPARKS, NV 89431-3365
- **Mailing address phone:** (775) 359-1199
- **Mailing address fax:** (775) 359-1195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2092-C | NV | Yes |

## Other

- **Enumeration date:** 03/01/2011
- **Last updated:** 03/01/2011