Individual
MISS CHARLOTTE MIRIAM KOESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 S 1ST AVE, PHOENIX, AZ 85003-1909
(602) 372-2315
(602) 372-2300
Mailing address
125 S 1ST AVE, PHOENIX, AZ 85003-1909
(602) 372-2315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-17878
AZ
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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