Individual
JESSICA ANNE GENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2302 N 75TH AVE, PHOENIX, AZ 85035-1216
(800) 233-3264
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(602) 328-8400
(238) 771-0916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
17290
CO
1041C0700X
Clinical Social Worker
Primary
LCSW-17290
AZ
Other
Enumeration date
11/30/2018
Last updated
12/03/2021
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