Gwin, Brandi Nicole

Gwin, Brandi Nicole is an sole proprietor health care provider with primary practice located at 320 Daly Street Suite 101, Dubois PA 15801-1894. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gwin, Brandi Nicole can be contacted via phone (814) 591-7595.

Contact Information

Primary practice address
320 Daly Street Suite 101 Dubois PA 15801-1894
Phone: (814) 591-7595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW130024 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW020265 Pennsylvania

Profile Details

NPI number 1447467154
LBN Legal business name Gwin, Brandi Nicole
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated May 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447467154 NPPES
Pennsylvania MEDICAID 102865065003

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