Individual
RONDA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9028 N 51ST LN, GLENDALE, AZ 85302-4202
(623) 252-8788
(602) 279-1431
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9398058
AZ
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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