Provider Information for 1295975415
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BRANDIE RAJK-WINTER MSED, LMHC, NCC
Sex: Female
NPI: 1295975415
Last Updated: 2024-01-11
Certification Date: 2023-05-02
Certification Date: 2023-05-02
Details
| Name | Value | ||||||||
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| NPI | 1295975415 | ||||||||
| Enumeration Date | 2009-02-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1 LAKE ST STE 205 PERRY, NY 14530-1546 United States Phone: 585-380-2885 | Fax: | ||||||||
| Primary Practice Address | 1 LAKE ST STE 205 PERRY, NY 14530-1546 United States Phone: 585-380-2885 | Fax: | ||||||||
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