Provider Demographics
NPI:1760915177
Name:HUNTER, BRANDY LAJUAN (MSW LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:LAJUAN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MSW LCSW-C
Other - Prefix:MS
Other - First Name:BRANDY
Other - Middle Name:LAJUAN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW LCSW-C
Mailing Address - Street 1:6212 SEAL PL
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4452
Mailing Address - Country:US
Mailing Address - Phone:301-751-9597
Mailing Address - Fax:
Practice Address - Street 1:6212 SEAL PL
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4452
Practice Address - Country:US
Practice Address - Phone:301-751-9597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-04
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD181981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical