Individual
JEANETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3839 W CAMELBACK RD, PHOENIX, AZ 85019-2512
(602) 764-6065
Mailing address
1612 W ANDORRA DR, PHOENIX, AZ 85029-1718
(480) 286-7744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21440
AZ
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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