Individual
STEPHANIE CHRISTINE KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8088 W WHITNEY DR, PEORIA, AZ 85345-6564
(602) 655-2000
(602) 655-2202
Mailing address
2619 E ROOSEVELT ST, ATTN: MANAGED CARE, PHOENIX, AZ 85008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-20951
AZ
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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