Individual
BROOKE WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Mailing address
4480 N FORDNEY RD, HEMLOCK, MI 48626-8460
(803) 640-5383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801104621
MI
1041C0700X
Clinical Social Worker
Primary
C008864
NC
Other
Enumeration date
05/12/2014
Last updated
06/11/2020
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