Individual
ALECIA S BRANTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MSW, LCSW
Contact information
Practice address
21444 ANTHONY RD, WESTFIELD, IN 46062-8277
(317) 363-6335
Mailing address
21444 ANTHONY RD, WESTFIELD, IN 46062-8277
(317) 363-6335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005736A
IN
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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