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Individual

MEKA JOI ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
11225 M 28TH DR, SUITE C210, PHOENIX, AZ 85029
(602) 920-5088
Mailing address
11225 N 28TH DR, SUITE C210, PHOENIX, AZ 85029
(602) 718-7662

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-16083
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13862411
CAQH PROVIDER
AZ
Enumeration date
07/21/2016
Last updated
10/22/2023
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