Individual
BRANDY JANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1409 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 794-2000
Mailing address
2100 N MAIN ST, CROWN POINT, IN 46307-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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