Individual
MR. BRANDON WALTER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
138 W 5TH AVE, DENVER, CO 80204-5105
(303) 393-0085
(720) 221-9287
Mailing address
5145 STUART ST, DENVER, CO 80212-2910
(720) 331-3062
(720) 855-3778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992892
CO
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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