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Individual

MS. WILLIE RUTH DENARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4242 N 19TH AVE, SUITE 100, PHOENIX, AZ 85015-5117
(602) 861-0625
Mailing address
4242 N 19TH AVE, SUITE 100, PHOENIX, AZ 85015-5117
(602) 861-0625

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24259
CA

Other

Enumeration date
11/27/2007
Last updated
11/27/2007
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