Individual
BRENDA TRIPPLETT RANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 3RD ST, FT. POLK, LA 71459
(337) 531-3118
Mailing address
912 MILL ST, OAKDALE, LA 71463-3449
(318) 335-3883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801065544
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801065544
SOCIAL WORK LIC
MI
Enumeration date
08/08/2007
Last updated
08/08/2007
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