Individual
JENNIFER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., MSW
Contact information
Practice address
6909 E GREENWAY PKWY, SUITE 240, SCOTTSDALE, AZ 85254-2148
(480) 609-0001
Mailing address
7025 N. SCOTTSDALE RD., SUITE 302, SCOTTSDALE, AZ 85253-2148
(602) 451-5533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10603
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6915001
—
AZ
Enumeration date
06/14/2007
Last updated
12/31/2008
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