Individual
MS. BRONWYN RENEE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2120 S MCCLINTOCK DR STE 105, TEMPE, AZ 85282
(480) 804-0326
(480) 804-0083
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11303
AZ
1041S0200X
School Social Worker
LCSW-11303
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881286
—
AZ
Enumeration date
01/09/2007
Last updated
09/24/2018
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