Individual
MR. STUART B FENSTERHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1855 E SOUTHERN AVE, SUITE 201, MESA, AZ 85204-5241
(480) 560-1981
(480) 813-4721
Mailing address
1855 E SOUTHERN AVE, SUITE 201, MESA, AZ 85204-5241
(480) 560-1981
(480) 813-4721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1705
AZ
Other
Enumeration date
11/08/2005
Last updated
03/20/2012
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