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Individual

AMY HAACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4425 W OLIVE AVE STE 151A, GLENDALE, AZ 85302-3843
(602) 456-4817
Mailing address
4425 W OLIVE AVE STE 151A, GLENDALE, AZ 85302-3843
(602) 456-4817

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15445
AZ

Other

Enumeration date
08/07/2018
Last updated
08/07/2018
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