Organization
MODERN RELATIONSHIPS AND MILESTONES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT DAVIS CHURCH LCSW (PSYCHOTHERAPIST)
(602) 206-0232
Entity
Organization
Contact information
Practice address
3200 N DOBSON RD STE C, CHANDLER, AZ 85224-9609
(480) 424-5470
(480) 424-2684
Mailing address
4725 S CLARK DR, TEMPE, AZ 85282-7455
(602) 206-0232
(480) 347-2684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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