Individual
ALYSSA BRUDNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
316 E BOONE AVE, SUITE 656, SPOKANE, WA 99201
(509) 362-1723
Mailing address
1609 E 8TH AVE, SPOKANE, WA 99202-3405
(509) 362-1723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SC60776593
WA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW61140343
WASHINGTON STATE
WA
Enumeration date
12/18/2018
Last updated
10/26/2021
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