Provider Information for 1750805305
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BRANDY JONES LSW
Sex: Female
NPI: 1750805305
Last Updated: 2018-03-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1750805305 | ||||||||
| Enumeration Date | 2017-07-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 820 S MARTIN LUTHER KING JR BLVD HAMILTON, OH 45011-3216 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 820 S MARTIN LUTHER KING JR BLVD HAMILTON, OH 45011-3216 United States Phone: 513-887-8500 | Fax: | ||||||||
| Secondary Practice Address(es) | 1659 S BREIEL BLVD | ||||||||
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