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1508411075
BRYAN BRANDENBURG
WASILLA, AK
NPI
1508411075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK 102717)
Enumeration Date
2019-08-01
Last Update Date
2022-01-10
Business Address
BRYAN BRANDENBURG MS, LPC
26731 W POINT MACKENZIE RD
WASILLA, AK 99623-8709
Phone number: 907-376-4534
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Mailing Address
BRYAN BRANDENBURG MS, LPC
1630 N RIVER ROCK CIR
PALMER, AK 99645-9698
Phone number: 907-441-7392
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