Individual
BRENAI BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2379 GUS THOMASSON RD STE 300, MESQUITE, TX 75150-7102
(682) 900-1742
Mailing address
10842 BRAVURA LN, DALLAS, TX 75217-3538
(682) 900-1742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
66187
TX
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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