Individual
MS. BRANDIE DANIELLE ROUSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 FREEDOM WAY, (284), AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-1734
Mailing address
1 FREEDOM WAY, (284), AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-1734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW002600
GA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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