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Individual

MS. BRANDY DANIELLE NIEMILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
8479 S. MASON MONTGOMERY ROAD, SUITE 4, MASON, OH 45040-4023
(513) 443-4798
(513) 725-1141
Mailing address
8479 S. MASON MONTGOMERY ROAD, SUITE 4, MASON, OH 45040-4023
(513) 443-4798
(513) 725-1141

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1101642-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0320971
OH
Enumeration date
07/13/2018
Last updated
01/03/2020
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