Individual
JENNIFER SHEA FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1910 S STAPLEY DR STE 209, MESA, AZ 85204-6679
(480) 351-8020
Mailing address
1910 S STAPLEY DR, MESA, AZ 85204-6674
(480) 351-8020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-23339
AZ
Other
Enumeration date
03/12/2007
Last updated
11/07/2025
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