Individual
TERESA JANE HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3910 S RURAL RD STE J, TEMPE, AZ 85282-5567
(480) 317-9868
(480) 317-9867
Mailing address
1301 E ACOMA DR, PHOENIX, AZ 85022-4411
(602) 993-7206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12121
AZ
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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