Individual
MS. SUSAN WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1900 W THOMAS RD, PHOENIX, AZ 85015-6051
(602) 764-8045
Mailing address
6109 N 12TH ST, PHOENIX, AZ 85014-1716
(602) 764-8045
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121600
—
AZ
Enumeration date
05/01/2007
Last updated
07/25/2007
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