Individual
BRANDY ROCHELLE KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9200 ROBIN RD, GEORGETOWN, IN 47122-8900
(502) 938-4626
Mailing address
9200 ROBIN RD, GEORGETOWN, IN 47122-8900
(502) 938-4626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3300858A
IN
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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