Individual
MS. STACEY MICHELLE GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2550 W UNION HILLS DR STE 350, PHOENIX, AZ 85027-5187
(602) 878-7718
Mailing address
3721 W LUKE AVE, PHOENIX, AZ 85019-2108
(602) 295-3720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823402
—
AZ
Enumeration date
10/23/2006
Last updated
02/23/2023
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