Individual
GRACE ANNE KALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3420 E SHEA BLVD STE 188, PHOENIX, AZ 85028-3354
(602) 633-5474
Mailing address
3420 E SHEA BLVD, PHOENIX, AZ 85028-3345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-21792
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-23169
AZ
Other
Enumeration date
10/09/2024
Last updated
03/06/2026
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