Individual
MS. STEPHANIE SAGE WITHROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4350 E RAY RD, PHOENIX, AZ 85044-4703
(480) 223-8523
Mailing address
1729 W LARK DR, CHANDLER, AZ 85286-8327
(480) 223-8523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2312
AZ
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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