Organization
LIVING WATERS INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LOUISE SANFORD LCSW (OWNER)
(623) 226-8287
Entity
Organization
Contact information
Practice address
15331 W BELL RD STE 212, SURPRISE, AZ 85374-4104
(623) 226-8287
(480) 498-8161
Mailing address
12567 W MAZATZAL DR, PEORIA, AZ 85383-0380
(623) 226-8287
(480) 498-8161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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