Individual
MS. MARY BRENCICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1300 NE GOLDIE ST, OAK HARBOR, WA 98277-4832
(360) 240-4043
Mailing address
816 CASINO DR, GREENBANK, WA 98253-9709
(360) 678-9294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00008598
WA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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