Individual
SUSAN CAROLE BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3330 N 2ND ST STE 601, PHOENIX, AZ 85012-2395
(602) 230-7373
(602) 682-7455
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19957
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-0485904
—
AZ
Enumeration date
01/05/2022
Last updated
12/01/2023
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