Individual
BRANDY RAE QUEIJSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
Mailing address
3385 N HIGHWAY 29, CANTONMENT, FL 32533-4702
(850) 895-7854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16673
FL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/14/2013
Last updated
10/28/2019
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