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Individual

MR. STEPHEN RYAN LANKTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
3509 E SHEA BLVD, STE 107, PHOENIX, AZ 85028-3336
(602) 532-0800
(602) 532-0801
Mailing address
PO BOX 9489, PHOENIX, AZ 85068-9489
(602) 532-0800
(602) 532-0801

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801002438
MI
1041C0700X
Clinical Social Worker
Primary
LCSW-10443
AZ
106H00000X
Marriage & Family Therapist
MT0121
FL

Other

Enumeration date
05/11/2006
Last updated
10/02/2007
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