Individual
DORIS LOUISE BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 873-0365
(386) 846-4360
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 873-0365
(386) 846-4360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/15/2008
Last updated
11/06/2017
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