Individual
MS. SUSAN LESLIE MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W GUADALUPE RD, TEMPE, AZ 85283-3599
(480) 839-0292
Mailing address
1902 E REDFIELD RD, TEMPE, AZ 85283-4222
(480) 839-6665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-0648
AZ
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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