ALYCE DANIELLE BRANHAM

FORT WAYNE, IN
NPI1235759556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34008853A)
Additional Taxonomies104100000X Social Worker
(Licence: IN  33008603A)
Enumeration Date2020-04-17
Last Update Date2023-07-12
Business Address
ALYCE DANIELLE BRANHAM LSW
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825-1545
Phone number: 260-425-6390
Mailing Address
ALYCE DANIELLE BRANHAM LSW
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: