Individual
MS. JENNE K BRDLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
470 WEST CLEVELAND, SAINT JOHNS, AZ 85936-0579
(928) 337-4301
(928) 337-2269
Mailing address
PO BOX 579, SAINT JOHNS, AZ 85936-0579
(928) 333-2683
(928) 333-5595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-12616
AZ
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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