Individual
MRS. BRANDI S WARNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1248 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 681-1945
Mailing address
1795 W BROADWAY ST, IDAHO FALLS, ID 83402-3045
(208) 681-1945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-1434
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-36723
ID
Other
Enumeration date
02/14/2019
Last updated
04/15/2024
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