Individual
MRS. BRANDI MICHELLE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 S MAIN ST, STE P3, POCATELLO, ID 83204-3261
(208) 406-9107
Mailing address
200 S MAIN ST, STE P3, POCATELLO, ID 83204-3261
(208) 406-9107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-37508
ID
Other
Enumeration date
06/29/2007
Last updated
02/14/2024
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