Provider Demographics
NPI:1073968277
Name:SALTERS, BRANDY SUE (LLMSW)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:SUE
Last Name:SALTERS
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 HIGHPOINT DR
Mailing Address - Street 2:APT 12
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-8746
Mailing Address - Country:US
Mailing Address - Phone:269-377-2332
Mailing Address - Fax:
Practice Address - Street 1:631 HIGHPOINT DR
Practice Address - Street 2:APT 12
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010
Practice Address - Country:US
Practice Address - Phone:269-377-2332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-26
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker