Individual
MRS. KRISTIN APRIL MERVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3509 E SHEA BLVD STE 102, PHOENIX, AZ 85028-3337
(872) 333-9282
(480) 581-7474
Mailing address
3509 E SHEA BLVD STE 102, PHOENIX, AZ 85028-3337
(872) 333-9282
(480) 581-7474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.020236
IL
1041C0700X
Clinical Social Worker
Primary
LCSW-17561
AZ
Other
Enumeration date
09/01/2016
Last updated
08/30/2021
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