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Individual
MS. DANIELLA BRANTLEY
Active
Individual
MS. DANIELLA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0211511
NM
171M00000X
Case Manager/Care Coordinator
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376168310
—
NM
Enumeration date
06/16/2020
Last updated
02/04/2022
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