Individual
BRIGETT W HOLLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
444 N 4TH ST, COOS BAY, OR 97420-2222
(541) 337-1856
Mailing address
2354 UNION AVE, NORTH BEND, OR 97459-3355
(541) 337-1856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28501
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010165686
REGENCE BLUE SHIELD
ID
01
—
L6078
BLUE CROSS OF IDAHO
ID
Enumeration date
04/02/2008
Last updated
12/13/2023
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