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Provider Information for 1245945575


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BRANDY RAY COBBS LiCSW


Sex: Female

NPI: 1245945575
Last Updated: 2023-01-20
Certification Date: 2023-01-20

Details

NameValue
NPI1245945575
Enumeration Date2023-01-20
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 437 SHERMAN ST SE
DECATUR, AL 35601-3009
United States

Phone: 256-616-7027 | Fax:
 
Primary Practice Address 437 SHERMAN ST SE
DECATUR, AL 35601-3009
United States

Phone: 256-616-7027 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalAL1466C