Individual
MISS BRIANNA MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
(707) 565-4805
Mailing address
1948 DOGWOOD DR, SANTA ROSA, CA 95403-1576
(707) 695-5797
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72746
CA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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