Organization
JOSHUA BRANDT LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DENNIS BRANDT (MEMBER MANAGER)
(541) 410-7099
Entity
Organization
Contact information
Practice address
5185 W OVERLAND RD, BOISE, ID 83705-2635
(541) 410-7099
Mailing address
5185 W OVERLAND RD, BOISE, ID 83705-2635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/11/2024
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