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1104514371
AMIE M BRANDTJEN
PHOENIX, AZ
NPI
1104514371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 21400)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
AMIE M BRANDTJEN MSW, LICSW
635 E BASELINE RD
PHOENIX, AZ 85042-6583
Phone number: 602-243-7277
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Mailing Address
AMIE M BRANDTJEN MSW, LICSW
161 CONCORD EXCHANGE N APT 208
SOUTH ST PAUL, MN 55075-2275
Phone number: 763-442-8398
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