Individual
VENESSA B DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
1825 E NORTHERN AVE, PHOENIX, AZ 85020-3940
(602) 997-2880
Mailing address
1825 E NORTHERN AVE, PHOENIX, AZ 85020-3940
(602) 997-2880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13843
AZ
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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