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BRANDON JAMES ERCANBRACK LCSW, CDC-I

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1093023012

Individual Registrant:
 BRANDON JAMES ERCANBRACK LCSW, CDC-I
Gender: M
Not Sole Proprietor

Location and contact information for practice:
733 2ND AVE  KOTZEBUE, AK 99752-0265 US
Tel: 907-442-7640  Fax: --

Contact information for business:
PO BOX 265  KOTZEBUE, AK 99752-0265 US
Tel: 907-442-7640  Fax: --

Registration Information:
NPI: 1093023012
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AK123302

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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