Organization
PHOENIX ELEMENTARY SCHOOL DISTRICT #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE SIMON (COORDINATOR)
(602) 523-8988
Entity
Organization
Contact information
Practice address
123 N 13TH ST, SHAW ELEM SCHOOL, PHOENIX, AZ 85034
(602) 257-3898
(602) 257-2954
Mailing address
1817 N 7TH STREET, STUDENT SERVICES, PHOENIX, AZ 85006
(602) 523-8988
(602) 257-6336
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LCSW-11531
AZ
Other
Enumeration date
05/09/2007
Last updated
08/06/2008
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