Individual
BONNIE HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3141 N 3RD AVE, PHOENIX, AZ 85013-4360
(602) 914-1520
(602) 914-1521
Mailing address
5002 S BIRCH ST, TEMPE, AZ 85282-7211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1295
AZ
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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