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Individual

MRS. ELISSA BETH SILVERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1130 E MISSOURI AVE STE 780, PHOENIX, AZ 85014-2730
(602) 777-6156
(602) 513-7303
Mailing address
4302 E BANNOCK ST, PHOENIX, AZ 85044-3953
(602) 791-3248

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-15244
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
960744
AZ
Enumeration date
10/28/2014
Last updated
01/02/2019
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