Individual
BEVERLY QUIDORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1214 E GLENN DR, PHOENIX, AZ 85020-5423
(480) 568-4599
(888) 974-4260
Mailing address
1214 E GLENN DR, PHOENIX, AZ 85020-5423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3692
AZ
Other
Enumeration date
05/30/2015
Last updated
05/30/2015
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