Individual
KATHY MARIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1200 FIRST AVE EAST, SPENCER, IA 51301-4330
(712) 264-6362
(712) 262-1526
Mailing address
1200 FIRST AVE EAST, SPENCER, IA 61301-4330
(712) 264-6362
(712) 262-1526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03094
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07653
WELLMARK BCBS
IA
Enumeration date
05/17/2006
Last updated
10/11/2007
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