Individual
MR. BRETT MIDDLETON FARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 752-6581
Mailing address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 752-6581
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02520364
DPS
TX
Enumeration date
04/08/2008
Last updated
04/08/2008
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