Individual
BRANDON DOUGLAS KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
215 UNIVERSITY DR, GOODING, ID 83330-6155
(208) 934-5880
(208) 934-5876
Mailing address
215 UNIVERSITY DR, GOODING, ID 83330-6155
(208) 934-5880
(208) 934-5876
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31435
ID
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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