Individual
CHI STAVROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
1110 E MCDOWELL RD, PHOENIX, AZ 85006-2611
(602) 685-1940
(602) 685-1944
Mailing address
8602 W. MORTEN AVE, GLENDALE, AZ 85305
(623) 341-2041
(623) 977-1327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12659
AZ
Other
Enumeration date
10/15/2009
Last updated
01/14/2010
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