Robert Brandenburg
Social Worker, Clinical in Sparks, NV. Organization (NPI-2).
NPI number1083912901
StatusActive
Last updated in NPPESMar 1, 2011
Details
- NPI
- 1083912901
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert Brandenburg
- Organization subpart
- No
- Enumeration date
- Mar 1, 2011
- Last updated
- Mar 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2092-c | NV | Yes |
Practice location
2225 N McCarran BlvdSparks, NV 89431-3365
Phone 775-359-1199 · Fax 775-359-1195
Mailing address
2225 N McCarran BlvdSparks, NV 89431-3365
Phone 775-359-1199 · Fax 775-359-1195
Authorized official
Robert Lynn Brandenburg
Therapist
7753591199
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