Individual
BRANDY FANCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 S RIDGEWOOD AVE STE 204C-205, DAYTONA BEACH, FL 32114-4927
(386) 747-6541
Mailing address
1562 ALDRIDGE LN, DELAND, FL 32720-0845
(386) 785-9972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW20463
FL
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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