Individual
DENISE BROGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5170 E CALLE VISTA DE COLORES, TUCSON, AZ 85711-7435
(520) 745-8658
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 745-8658
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SW37941
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926123
—
AZ
01
—
SW37941
STATE LICENSE
AZ
Enumeration date
02/07/2007
Last updated
07/08/2007
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