Individual
MR. STEPHEN LEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12600 N 113TH AVE STE C19, YOUNGTOWN, AZ 85363-1125
(623) 764-0156
(623) 882-1731
Mailing address
5528 W.IRMA LANE, GLENDALE, AZ 85308-9343
(623) 764-0156
(623) 882-1731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2955
AZ
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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