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Organization

NORTHERN ARIZONA UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL SHERMAN PLEASANT (ASSISTANT DIRECTOR)
(602) 728-9532
Entity
Organization

Contact information

Practice address
BUILDING 47 A SOUTH SAN FRANCISCO ST, FLAGSTAFF, AZ 86011-0001
(928) 523-2119
(928) 523-2210
Mailing address
PO BOX 15026, FLAGSTAFF, AZ 86011-0541
(928) 523-2119
(928) 523-2210

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/08/2018
Last updated
10/08/2018
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