Individual
WENDY RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW, LCSW
Contact information
Practice address
5701 W TALAVI BLVD STE 180, GLENDALE, AZ 85306-1888
(623) 486-8202
Mailing address
1636 W INDIANOLA AVE, PHOENIX, AZ 85015-5553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22445
AZ
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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