Individual
JAXINTA SILVIA SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 E GARFIELD ST, TEMPE, AZ 85281-1011
(480) 326-5006
Mailing address
104 E GARFIELD ST, TEMPE, AZ 85281-1011
(480) 326-5006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW18021
AZ
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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