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Organization

MARTHA ANN BRANDT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA ANN BRANDT LCSW (LICENSED CLINICAL SOCIAL WORKER)
(812) 449-4006
Entity
Organization

Contact information

Practice address
4770 COVERT AVE, SUITE 230, EVANSVILLE, IN 47714-5617
(812) 449-4006
(812) 475-3470
Mailing address
4770 COVERT AVE, SUITE 230, EVANSVILLE, IN 47714-5617
(812) 449-4006
(812) 475-3470

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IN34002417A
IN

Other

Enumeration date
10/28/2010
Last updated
10/28/2010
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