Individual
STEPHANIE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3330 N 2ND ST STE 601, PHOENIX, AZ 85012-2395
(602) 230-7373
(602) 230-5105
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-17747
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-22215
AZ
Other
Enumeration date
05/12/2022
Last updated
07/01/2024
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