Individual
LORI LYNNE MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1331 W BECK LN, PHOENIX, AZ 85023-4456
(602) 617-2910
Mailing address
1331 W BECK LN, PHOENIX, AZ 85023-4456
(602) 617-2910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
686
WY
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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