Individual
BRANDI WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 CARRICO DR, COAL GROVE, OH 45638-3006
(740) 307-0369
Mailing address
615 DEPOT SQ, IRONTON, OH 45638-1856
(740) 550-1246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
11/27/2023
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