Individual
KATHERINE LONG BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
318 N COLLEGE ST STE G, AUBURN, AL 36830-3815
(334) 329-6063
(334) 329-6063
Mailing address
442 LIGHTNESS DR, AUBURN, AL 36832-5113
(205) 482-1429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3849C
AL
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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