Individual
BRANDIJEAN M ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8212 LINDEN DR, PRAIRIE VILLAGE, KS 66208-5005
(816) 686-8526
Mailing address
8212 LINDEN DR, PRAIRIE VILLAGE, KS 66208-5005
(816) 686-8526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11412
KS
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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