Individual
STEPHANIE MARIE MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4125 N 14TH ST, PHOENIX, AZ 85014-4941
(602) 882-5544
Mailing address
4125 N 14TH ST, PHOENIX, AZ 85014-4941
(602) 882-5544
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
5806959
AZ
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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