Individual
BRANDY N JASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 396, CRANDON, WI 54520-0396
(715) 478-4339
(715) 478-4494
Mailing address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801108974
MI
1041C0700X
Clinical Social Worker
Primary
9535-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130878-121
STATE LICENSE
WI
Enumeration date
03/13/2018
Last updated
10/09/2025
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