Individual
BROOKE JANET BEANDER
Active
Individual
BROOKE JANET BEANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
19589
MD
1041C0700X
Clinical Social Worker
Primary
LC50079502
DC
Other
Enumeration date
04/27/2020
Last updated
07/20/2020
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