Individual
MR. ROBERT WADE BRANDIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
291 W CASA BLANCA RD., BLDG. 7, SACATON, AZ 85147
(520) 562-3323
(602) 528-1374
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-7135
(602) 528-1374
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LBSW-0959
AZ
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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