Individual
LISA RENEE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1125 W JACKSON ST, PHOENIX, AZ 85007-3110
(480) 392-7630
Mailing address
3845 E GREENWAY RD UNIT 102, PHOENIX, AZ 85032-4676
(480) 392-7630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-18404
AZ
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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