Individual
BRANDI IMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
1369 E 11TH ST, CASA GRANDE, AZ 85222-3673
(602) 828-7146
Mailing address
1369 E 11TH ST, CASA GRANDE, AZ 85222-3673
(602) 828-7146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/31/2007
Last updated
05/20/2008
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