Individual
TEENA MARIE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9520 W PALM LN, PHOENIX, AZ 85037-4403
(623) 289-1654
Mailing address
9520 W PALM LN, PHOENIX, AZ 85037-4403
(623) 698-2433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-21652
AZ
Other
Enumeration date
08/04/2023
Last updated
01/30/2025
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