Individual
MS. BRANDI NICOLE BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
531 PAR DR APT 9, MARION, AR 72364-1666
(901) 335-5091
Mailing address
531 PAR DR APT 9, MARION, AR 72364-1666
(901) 335-5091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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