Individual
KISHAN RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4801 S LAKESHORE DR STE 204, TEMPE, AZ 85282-7157
(480) 256-9299
(480) 422-2474
Mailing address
4801 S LAKESHORE DR STE 204, TEMPE, AZ 85282-7157
(480) 256-9299
(480) 422-2474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18999
AZ
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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