Individual
LORI JORDAN BOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2920 N 34TH DR, PHOENIX, AZ 85017-5250
(602) 764-0802
(602) 271-2963
Mailing address
4542 N 18TH DR, PHOENIX, AZ 85015-3841
(602) 277-7534
(602) 271-2963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3487
AZ
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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