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Organization
ALYSSA BRUDNICKI LLC
Active
Organization
ALYSSA BRUDNICKI LLC
Active
Other names
Alyssa Brudnicki
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA K BRUDNICKI MSW, LICSW (LICENSED CLINICAL SOCIAL WORKER)
(509) 362-1723
Entity
Organization
Contact information
Practice address
9631 N NEVADA ST STE 209, SPOKANE, WA 99218-1197
(509) 362-1723
Mailing address
1609 E 8TH AVE, SPOKANE, WA 99202-3405
(509) 362-1723
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW61140343
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
WA
Enumeration date
08/03/2021
Last updated
08/03/2021
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