Individual
AMIE M BRANDTJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6583
(602) 243-7277
Mailing address
161 CONCORD EXCHANGE N APT 208, SOUTH ST PAUL, MN 55075-2275
(763) 442-8398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21400
MN
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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