Individual
BRANDON WEASENFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2337 BEDFORD AVE APT 2C, BROOKLYN, NY 11226-5288
(347) 451-0780
Mailing address
2337 BEDFORD AVE APT 2C, BROOKLYN, NY 11226-5288
(347) 451-0780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
092997
NY
Other
Enumeration date
08/17/2017
Last updated
03/10/2022
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