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Individual

SUSAN C FAVARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
901 E WILLETTA ST, PHOENIX, AZ 85006-2727
(602) 839-6900
Mailing address
901 E WILLETTA ST, PHOENIX, AZ 85006-2727
(602) 839-6900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13352
AZ

Other

Enumeration date
09/02/2010
Last updated
02/07/2012
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