Individual
BRIANNA KLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
2345 W BETHANY HOME RD, PHOENIX, AZ 85015-1825
(602) 774-4745
Mailing address
28186 N GRANITE AVE, SAN TAN VALLEY, AZ 85143-5911
(952) 221-6049
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24961
MN
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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