Individual
JENNIFER NYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4510 E BANNER GATEWAY DR APT 1022, MESA, AZ 85206-4749
(708) 307-5146
Mailing address
4510 E BANNER GATEWAY DR APT 1022, MESA, AZ 85206-4749
(708) 307-5146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-18130
AZ
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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