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DORIS BRACKNEY
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1134300361
Individual Registrant: DORIS BRACKNEY
Gender: F
Not Sole Proprietor
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
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
Tel: 760-873-6364 Fax: 760-873-5103
Registration Information:
NPI: 1134300361
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
