Individual
MRS. MARY A. BRASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7927
(602) 664-7998
Mailing address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7927
(602) 664-7998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC10516
AZ
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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