Individual
STEPHANIE BRAKEMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 COLFAX AVE NW, RENVILLE, MN 56284
(320) 894-2100
Mailing address
314 COLFAX AVE NW, PO BOX 115, RENVILLE, MN 56284
(320) 894-2100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
TG44251
MN
Other
Enumeration date
01/20/2017
Last updated
04/15/2022
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