Individual
BRANTLY HARPER IRACLEANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
2366 EASTLAKE AVE E STE 402, SEATTLE, WA 98102-3394
(206) 202-3133
Mailing address
2106 NE 75TH ST, SEATTLE, WA 98115-4576
(626) 660-8985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61575058
WA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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