Individual
JENNIFER HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 E WILLETTA ST FL 1, PHOENIX, AZ 85006-2516
(602) 839-6900
Mailing address
530 E MARIPOSA ST APT 48, PHOENIX, AZ 85012-1639
(480) 437-0594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19016
AZ
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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