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Organization

FAMILY SERVICE AIDES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE MARIE CERNIGLIA (CEO)
(602) 509-8296
Entity
Organization

Contact information

Practice address
201 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3203
(602) 795-1170
Mailing address
201 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3203
(602) 795-1170

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
07/29/2024
Last updated
07/29/2024
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