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Individual

MRS. JANELLE ELIZABETH HETTICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
20 E UNIVERSITY DR STE 208, TEMPE, AZ 85281-3676
(267) 572-0242
Mailing address
1442 S LAZONA DR, MESA, AZ 85204-5954
(267) 572-0242

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/11/2020
Last updated
01/11/2020
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