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Individual

ALLISON BRAZENDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1505 BLANDING ST, COLUMBIA, SC 29201-2906
(954) 913-6306
Mailing address
6275 NW 96TH TER, PARKLAND, FL 33076-1815

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1319
SC

Other

Enumeration date
01/30/2015
Last updated
04/08/2019
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