Individual
MARLENA BEATRICE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
16601 N 40TH ST STE 216, PHOENIX, AZ 85032-3354
(480) 788-8466
Mailing address
16601 N 40TH ST STE 216, PHOENIX, AZ 85032-3354
(970) 901-8575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22564
AZ
Other
Enumeration date
10/10/2023
Last updated
01/21/2025
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