Individual
BRANDON PELLATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
513 5TH ST SW, WILLMAR, MN 56201-3216
(320) 214-9692
(320) 214-9924
Mailing address
PO BOX 1810, WILLMAR, MN 56201-1810
(320) 214-9692
(320) 214-9924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21177
MN
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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