Individual
LEA GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 W FRYE RD, CHANDLER, AZ 85224-6112
(480) 812-7000
Mailing address
2346 W CALLE IGLESIA AVE, MESA, AZ 85202-5504
(480) 241-1148
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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