Individual
BRANDY TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
488 W HOSPITAL RD, PAOLI, IN 47454-8807
(812) 482-3020
(812) 482-6409
Mailing address
PO BOX 769, JASPER, IN 47547-0769
(812) 482-3020
(812) 482-6409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005227A
IN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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