Individual
JANIE KEWENVOYOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 273-6545
Mailing address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 273-6545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-13792
AZ
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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