Individual
MS. JENNIFER L. CULLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
15621 N 173RD LN, SURPRISE, AZ 85388-1224
(623) 875-6067
Mailing address
5501 N 19TH AVE, SUITE 310, PHOENIX, AZ 85015-2450
(602) 433-1344
(602) 249-1570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8043
AZ
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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