Breane Mikaila Sandoval, LMSW

NPI #1952292849 in Fairborn, Ohio

Provider Information

NPI Number: 1952292849
Entity Type: Individual
Name: Breane Mikaila Sandoval, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 10, 2025
Last Updated: Aug 19, 2025

Practice Location

Address: 188 W HEBBLE AVE
City: Fairborn
State: Ohio
ZIP Code: 45324-4960
Phone: (937) 754-5911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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