Individual
BRANDEE GRACE BLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
818 S BROADWAY STE 109&110, WATERTOWN, SD 57201-4861
(605) 610-6385
Mailing address
2518 14TH AVE NE APT 103, WATERTOWN, SD 57201-7393
(605) 610-6385
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC20768
SD
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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