Individual
KATHLEEN ANN PHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14632 N 2ND DR, PHOENIX, AZ 85023-5206
(602) 363-7441
Mailing address
14632 N 2ND DR, PHOENIX, AZ 85023-5206
(602) 363-7441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10934
AZ
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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