Individual
LISA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
575 W PECOS RD APT 1152, CHANDLER, AZ 85225-7413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
642
AK
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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