Individual
BRANDY LYNN BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5305 JEFFERSON PIKE STE C7, FREDERICK, MD 21703-6982
(240) 656-0201
Mailing address
5305 JEFFERSON PIKE STE C7, FREDERICK, MD 21703-6982
(240) 656-0201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26603
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B653-098-564-744
NONE
MD
Enumeration date
08/04/2021
Last updated
08/04/2021
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