Individual
BRANDIE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 PRINCE ST, ROCHESTER, NY 14607-1437
(585) 242-7682
Mailing address
102 ELMDORF AVE, ROCHESTER, NY 14619-1820
(804) 432-0797
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119298
NY
1041S0200X
School Social Worker
119298
NY
Other
Enumeration date
11/01/2023
Last updated
05/14/2024
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