Individual
MISS JENNA BRACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
1274 W. 7TH AVENUE SUITE 201, EUGENE, OR 97402
(804) 405-8452
Mailing address
1274 W. 7TH AVENUE SUITE 201, EUGENE, OR 97402
(804) 405-8452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7048
OR
Other
Enumeration date
10/04/2016
Last updated
03/26/2019
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