Individual
JANAE EWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4513 E ROSEMONTE DR, PHOENIX, AZ 85050-3335
(630) 272-9329
Mailing address
4513 E ROSEMONTE DR, PHOENIX, AZ 85050-3335
(630) 272-9329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
094514
NY
Other
Enumeration date
06/27/2019
Last updated
01/04/2023
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