Individual
JENNELLE STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 E THOMAS RD STE 100, PHOENIX, AZ 85016-8220
(602) 957-2507
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 265-8338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22773
AZ
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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