Individual
JEANNIE M RETAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6825 W BELL RD, GLENDALE, AZ 85308-8453
(916) 396-4882
Mailing address
5522 W ANDREA DR, PHOENIX, AZ 85083-6311
(916) 396-4882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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