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Individual

JORDAN HOUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4425 W OLIVE AVE, SUITE 200, GLENDALE, AZ 85302-3843
(602) 685-6000
(602) 930-0358
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6132
(602) 302-7925

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L15506
OR
1041C0700X
Clinical Social Worker
LCSW-16387
AZ

Other

Enumeration date
07/02/2014
Last updated
10/03/2024
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