Individual
BRIAN PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
120 W CHURCH ST STE 2E, FREDERICK, MD 21701-7812
(240) 415-8275
Mailing address
120 W CHURCH ST STE 2E, FREDERICK, MD 21701-7812
(240) 415-8275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17052
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14074275
CAQH
—
Enumeration date
07/31/2017
Last updated
04/10/2023
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