Most Relevant Information
Provider Data
| NPI Number: | 1003634486 |
| Provider Name: | BOBBI BRANDAU |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 9063 |
Most Important Dates
| Enumeration Date: | 10/02/2024 |
| Last Updated: | 10/02/2024 |
Provider Practice Location
62 COIT ST
NEW LONDON
CT
063205923
Practice Location Phone/Fax
| Phone: | 8604471717 |
| Fax: |
Provider Mailing Location
110 DORSET LN
MADISON
CT
064431685
Provider Mailing Phone/Fax
| Phone: | 2039273968 |
| Fax: |