Most Relevant Information
Provider Data
| NPI Number: | 1003355918 |
| Provider Name: | LISA BRATCHER |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 8340491 |
Most Important Dates
| Enumeration Date: | 02/13/2017 |
| Last Updated: | 02/13/2017 |
Provider Practice Location
4449 N 12TH ST
PHOENIX
AZ
850144520
Practice Location Phone/Fax
| Phone: | 6022791427 |
| Fax: | 6022791431 |
Provider Mailing Location
PO BOX 16906
PHOENIX
AZ
850116906
Provider Mailing Phone/Fax
| Phone: | 6022791427 |
| Fax: | 6022791431 |