Individual
BRENDA JOAN BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
116 DOGWOOD DR, WINNFIELD, LA 71483-5000
(409) 594-4912
(409) 594-4912
Mailing address
116 DOGWOOD DR, WINNFIELD, LA 71483-5000
(409) 594-4912
(409) 594-4912
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
20558960
TX
Other
Enumeration date
06/08/2011
Last updated
10/15/2015
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