Individual
DAED LIZBETH AYALA PENALOZA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1934 E CAMELBACK RD STE 197, PHOENIX, AZ 85016-4126
(928) 261-5587
Mailing address
4238 N 17TH ST APT 3, PHOENIX, AZ 85016-5324
(928) 261-5587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
114773
TX
1041C0700X
Clinical Social Worker
Primary
LCSW-17129
AZ
Other
Enumeration date
10/18/2018
Last updated
05/13/2025
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