Provider Demographics
NPI:1962784553
Name:VALADEZ-FRANKEN, BRENDA SUE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:SUE
Last Name:VALADEZ-FRANKEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 SAVANNAH DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3834
Mailing Address - Country:US
Mailing Address - Phone:507-273-9097
Mailing Address - Fax:507-328-6395
Practice Address - Street 1:2117 CAMPUS DR SE STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4825
Practice Address - Country:US
Practice Address - Phone:507-328-6575
Practice Address - Fax:507-328-6395
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN140701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical