Individual
NANCY BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LISW
Contact information
Practice address
820 PASEO DE PERALTA, SANTA FE, NM 87501-2233
(505) 986-9633
(505) 820-1209
Mailing address
820 PASEO DE PERALTA, SANTA FE, NM 87501-2233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0027
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I0027
LISW
NM
Enumeration date
12/11/2006
Last updated
07/08/2007
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