Individual
MRS. MARIANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17043 N 66TH AVE, GLENDALE, AZ 85308-3625
(602) 400-2195
Mailing address
17043 N 66TH AVE, GLENDALE, AZ 85308-3625
(602) 400-2195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11739
AZ
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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