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VIRGINIA KATHERINE BRANTLEY L.M.F.T.

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1366787996

Individual Registrant:
 VIRGINIA KATHERINE BRANTLEY L.M.F.T.
Gender: F
Sole Proprietor

Location and contact information for practice:
113 N 4TH ST  PALATKA, FL 32177-3722 US
Tel: 386-546-3426  Fax: --

Contact information for business:
113 N 4TH ST  PALATKA, FL 32177-3722 US
Tel: 386-546-3426  Fax: --

Registration Information:
NPI: 1366787996
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
FLMT 2705

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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