Individual
MRS. JENNIFER ELLYN NETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
Mailing address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13047
AZ
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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