Richard Brandt-kreutz LCSW

NPI 1164504742 - Social Worker - 1041C0700X

NPI Details
NPI 1164504742
Gender Male
Enumeration Date 10/20/2006
Last Updated 03/27/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
525 LILLY RD NE
PMG SW WA ST PETER FAM MED
OLYMPIA WA, 98506-5101, US
Phone (360) 493-7230
Fax
Business Location
PO BOX 3360
PORTLAND OR, 97208-3360, US
Phone (866) 747-2455
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS17846
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According to our database, Richard Brandt-kreutz LCSW NPI is 1164504742, taxonomy code is 1041C0700X and license number is LCS17846, license state is located at California. Richard Brandt-kreutz LCSW physically located at 525 Lilly Rd Ne, Olympia WA, 98506-5101. NPI Number Richard Brandt-kreutz LCSW has the Individual type.

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1164504742 NPI number is provided on an as is basis without warranty of any kind. 1164504742 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Brandt-kreutz LCSW are for informational purposes only.