Individual
COLLEEN M BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 WILLOW AVE, SUITE 305, COUNCIL BLUFFS, IA 51503-0827
(712) 256-4420
(712) 256-4423
Mailing address
500 WILLOW AVE, SUITE 305, COUNCIL BLUFFS, IA 51503-0827
(712) 256-4420
(712) 256-4423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 1749
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6570882
—
SD
Enumeration date
10/21/2006
Last updated
09/08/2014
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