Individual
BRANDY ANNE DECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SOUTH ST, CUBA, NY 14727-1215
(607) 587-8390
Mailing address
913 WASHINGTON ST, OLEAN, NY 14760-2224
(716) 397-2596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098339-1
NY
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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