DOUGLAS ROBERT BRATHOLT

VIERA, FL
NPI1033455076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW10586)
Enumeration Date2012-12-19
Last Update Date2012-12-19
Business Address
Mr. DOUGLAS ROBERT BRATHOLT LCSW
2900 VETERANS WAY
VIERA, FL 32940-8007
Phone number: 321-637-3788
Mailing Address
Mr. DOUGLAS ROBERT BRATHOLT LCSW
2900 VETERANS WAY VETERANS HEALTH ADMINISTRATION- VA OPC HCHV
VIERA, FL 32940
Phone number: 321-637-3788