Individual
MRS. BRENDA LOUISE PONZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
120 W EXCHANGE ST STE 300, OWOSSO, MI 48867-2834
(989) 723-8239
Mailing address
2375 GALLANT FOX WAY, SAINT JOHNS, MI 48879-8168
(989) 224-3400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086620
MI
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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