Provider Information for 1295031672
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BRANDI K STURROCK LCSW-S
Sex: Female
NPI: 1295031672
Last Updated: 2022-06-16
Certification Date: 2021-08-27
Certification Date: 2021-08-27
Details
| Name | Value | ||||||||||||||||
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| NPI | 1295031672 | ||||||||||||||||
| Enumeration Date | 2011-02-02 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 20311 BEIGEWOOD LN HUMBLE, TX 77338-2772 United States Phone: 713-818-0716 | Fax: | ||||||||||||||||
| Primary Practice Address | 2215 BAUER DR HOUSTON, TX 77080-5528 United States Phone: 713-686-9194 | Fax:713-686-9413 | ||||||||||||||||
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