Individual
DOROTHY CHRISTINE BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
121 BIG MEADOW RD, TROY, ID 83871-9671
(208) 835-3728
Mailing address
121 BIG MEADOW RD, TROY, ID 83871-9671
(208) 835-3728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-26802
ID
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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