Individual
MS. MINDY EGLIVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16772 W BELL RD STE 110-186, SURPRISE, AZ 85374-9702
(781) 797-7685
Mailing address
16772 W BELL RD STE 110-186, SURPRISE, AZ 85374-9702
(781) 797-7685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C005727
NC
1041C0700X
Clinical Social Worker
Primary
LCSW-19673
AZ
Other
Enumeration date
07/25/2007
Last updated
04/27/2026
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