Individual
SOPHIA SAMANTHA ABIGAIL SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3327 N 18TH AVE, PHOENIX, AZ 85015-5814
(928) 301-3749
Mailing address
3327 N 18TH AVE, PHOENIX, AZ 85015-5814
(928) 301-3749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-18556
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-21994
AZ
Other
Enumeration date
11/12/2021
Last updated
01/23/2024
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