Individual
KRISTI EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 N 79TH AVE STE 211E, GLENDALE, AZ 85308-8725
(602) 688-4027
Mailing address
17505 N 79TH AVE STE 211E, GLENDALE, AZ 85308-8725
(602) 688-4027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-13335
AZ
1041C0700X
Clinical Social Worker
12359872-3501
UT
1041C0700X
Clinical Social Worker
LCSW-17498
AZ
Other
Enumeration date
08/10/2015
Last updated
07/12/2022
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