Individual
MS. JEANETTE LEAL MAZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 W THOMAS RD STE 320, PHOENIX, AZ 85013-4415
(602) 406-8521
(602) 406-1011
Mailing address
124 W THOMAS RD STE 320, PHOENIX, AZ 85013-4415
(602) 406-8521
(602) 406-1011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19165
AZ
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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