Individual
MS. MARTHA WHITFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
1402 S CENTRAL AVE, CPLC VIA DE AMISTAD, PHOENIX, AZ 85004
(602) 257-5530
Mailing address
1046 E BUCKEYE RD, CPLC ADMINISTRATION, PHOENIX, AZ 85034
(602) 254-4827
(602) 307-9752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LISAC 1628
AZ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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