Individual
AILEEN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7444 S SEAGRAPE RD, PUNTA GORDA, FL 33955-1037
(941) 637-6263
Mailing address
7444 S SEAGRAPE RD, PUNTA GORDA, FL 33955-1037
(941) 637-6263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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