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Provider Information for 1427113562


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KRISTEN BROCKMEIER-HUGHES LCSW


Sex: Female

NPI: 1427113562
Last Updated: 2024-02-09
Certification Date: 2024-02-09

Details

NameValue
NPI1427113562
Enumeration Date2006-12-27
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 1207
THATCHER, AZ 85552-1207
United States

Phone: 928-428-9000 | Fax:
 
Primary Practice Address 409 W 7TH ST
SAFFORD, AZ 85546-2705
United States

Phone: 928-348-9000 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalAZLCSW2919