Organization
KATHY CROWLEY LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CROWLEY LCSW (MANAGER)
(602) 573-6621
Entity
Organization
Contact information
Practice address
17215 N 72ND DR, SUITE D140, GLENDALE, AZ 85308-8558
(602) 573-6621
(623) 487-9631
Mailing address
13242 N 28TH PL, PHOENIX, AZ 85032-6002
(602) 573-6621
(623) 487-9631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 0625
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215990262
PERSONAL NPI
—
01
—
LCSW 0625
SOCIAL WORK LICENSE
AZ
Enumeration date
05/15/2006
Last updated
08/22/2020
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