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Individual

BREANNA WANDRYCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-T

Contact information

Practice address
333 W ROOSEVELT ST, PHOENIX, AZ 85003-1324
(623) 252-0223
Mailing address
10610 S 54TH LN, LAVEEN, AZ 85339-5421
(480) 202-6271

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-7937T
AZ

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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