Individual
MISS STEPHANIE ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4667 S LAKESHORE DR STE 7, TEMPE, AZ 85282-7293
(623) 272-7638
Mailing address
23 E ILLINI ST # 212, PHOENIX, AZ 85040-1029
(623) 272-7638
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AZ
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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