Individual
MS. SUSAN LYNN BRENCHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1116 W SKYVIEW DR, PRESCOTT, AZ 86303-5121
(928) 853-1454
Mailing address
1116 W SKYVIEW DR, PRESCOTT, AZ 86303-5121
(928) 853-1454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 0738
AZ
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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