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Individual

BRANDI BLUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3880
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3880

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7946-S
NV
106S00000X
Behavior Technician
RBT-17-37944
NV
225400000X
Rehabilitation Practitioner

Other

Enumeration date
05/26/2016
Last updated
08/04/2023
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