BRANDIE LYNNE IMPERIAL

PORTLAND, OR
NPI1902378003
Former NameBRANDIE LYNNE FAZAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L6754)
Enumeration Date2018-12-30
Last Update Date2018-12-30
Business Address
BRANDIE LYNNE IMPERIAL LCSW, CADCI
10175 SW BARBUR BLVD STE 204B
PORTLAND, OR 97219-5953
Phone number: 971-666-1290
Mailing Address
BRANDIE LYNNE IMPERIAL LCSW, CADCI
10175 SW BARBUR BLVD STE 204B
PORTLAND, OR 97219-5953
Phone number: 971-666-1290
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