Individual
MADI BLEEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Mailing address
322 E KEIM DR, PHOENIX, AZ 85012-1237
(480) 294-1185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-17348
AZ
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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