Individual
KELLY TABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0398
(602) 933-5525
Mailing address
2700 N CENTRAL AVE STE 1050, PHOENIX, AZ 85004-1217
(602) 266-8402
(602) 264-0887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-19479
AZ
Other
Enumeration date
08/10/2021
Last updated
08/18/2025
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