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Individual

BARONNIE JEREMIAH JESSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1500 E THOMAS RD STE 106, PHOENIX, AZ 85014-5748
(602) 248-6040
(602) 279-8957
Mailing address
4620 W OLNEY AVE, LAVEEN, AZ 85339-2083
(626) 404-8097

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/01/2023
Last updated
02/01/2023
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