Individual
MS. LISA KIM SAMPSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LISAC
Contact information
Practice address
40 E MITCHELL DRIVE, SUITE 200, PHOENIX, AZ 85012-2330
(602) 995-7474
(602) 254-5666
Mailing address
40 E MITCHELL DRIVE, SUITE 200, PHOENIX, AZ 85012-2330
(602) 995-7474
(602) 254-5666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 10365
AZ
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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