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Individual

ANDRINA LEE BRANTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSWA

Contact information

Practice address
3674 S WASHINGTON ST, GRAND FORKS, ND 58201-5766
(701) 205-3000
(701) 732-2501
Mailing address
PO BOX 5210, GRAND FORKS, ND 58206-5210
(701) 205-3000
(701) 732-2501

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C017280
NC
1041C0700X
Clinical Social Worker
Primary
P0168

Other

Enumeration date
05/26/2022
Last updated
01/26/2026
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