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Individual

JESSICA DAWN CLAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1600 W CHANDLER BLVD STE 220, CHANDLER, AZ 85224-6162
(480) 244-0126
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13494
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
710905
AZ
Enumeration date
04/25/2012
Last updated
02/02/2023
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