Individual
PHOENIX J JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
(801) 935-4171
(385) 227-8653
Mailing address
1375 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85257-3429
(844) 808-7792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14200073-3502
UT
Other
Enumeration date
06/11/2020
Last updated
03/18/2025
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