Individual
MATTHEW BRIAN LILJEGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2120 S MCCLINTOCK DR STE 105, TEMPE, AZ 85282-2692
(480) 804-0326
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-17993
AZ
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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