Individual
AMY REBECCA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2324 UNIVERSITY AVE W STE 120, SAINT PAUL, MN 55114
(651) 644-4100
(651) 644-4885
Mailing address
2324 UNIVERSITY AVE W STE 120, SAINT PAUL, MN 55114-1854
(651) 644-4100
(651) 644-4885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19136
MN
Other
Enumeration date
12/15/2010
Last updated
12/27/2018
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