MR. Douglas Robert Bratholt, LCSW

NPI #1033455076 in Viera, Florida

Provider Information

NPI Number
1033455076
Entity Type
Individual
Name
MR. Douglas Robert Bratholt, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 19, 2012
Last Updated
Dec 19, 2012

Practice Location

Address
2900 VETERANS WAY
City
Viera
State
Florida
ZIP Code
32940-8007
Phone
(321) 637-3788

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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