Individual
MONICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10201 S 51ST ST STE 130, PHOENIX, AZ 85044-5226
(602) 525-5783
Mailing address
10201 S 51ST ST, PHOENIX, AZ 85044-5215
(602) 525-5783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043716905
SOCIAL WORKER
AZ
Enumeration date
03/31/2018
Last updated
10/14/2021
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