Individual
MICHELLE ENENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85338-1226
(602) 243-7277
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 243-7277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21151
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW106485
LICENSED CLINICAL SOCIAL WORKER
CA
Enumeration date
10/14/2015
Last updated
07/13/2023
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