Individual
GWEN KITTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11071 W CANTERBURY DR, SUN CITY, AZ 85351-3716
(248) 462-3209
Mailing address
11071 W CANTERBURY DR, SUN CITY, AZ 85351-3716
(248) 462-3209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18984
AZ
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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