Individual
MS. BRENDA JAYNE DOLAN FRAGOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1176 E WARNER RD, SUITE 111A, GILBERT, AZ 85296-3067
(480) 892-1575
(844) 272-6941
Mailing address
1176 E WARNER RD, SUITE 111A, GILBERT, AZ 85296-3067
(480) 892-1575
(844) 272-6941
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15123
AZ
Other
Enumeration date
05/06/2014
Last updated
12/03/2016
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