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DORIS BRACKNEY

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

Registrant NPI Number: 1134300361

Individual Registrant:
 DORIS  BRACKNEY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
568 W LINE ST  BISHOP, CA 93514-3313 US
Tel: 760-873-6364  Fax: 760-873-5103

Contact information for business:
PO BOX 1799  BISHOP, CA 93515-1799 US
Tel: 760-873-6364  Fax: 760-873-5103

Registration Information:
NPI: 1134300361
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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