Individual
BRENNA WOSLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 MASON ST, SHELTON, WA 98584-1167
(360) 349-6066
Mailing address
1433 MASON ST, SHELTON, WA 98584-1167
(360) 349-6066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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