Individual
SUSAN KAY STUTENROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 372-2104
(601) 372-2164
Mailing address
220 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 372-2104
(601) 372-2164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11516
AZ
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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