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Individual
KRISTIN E. BRANDEL
Active
Individual
KRISTIN E. BRANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
062102
NY
1041C0700X
Clinical Social Worker
Primary
71873-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000506354006
COMMUNITY BLUE
NY
Enumeration date
10/03/2006
Last updated
09/05/2025
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