Individual
MEGAN JACKSON-HAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 E VAN BUREN ST, PHOENIX, AZ 85008-6920
(602) 243-7277
(602) 323-3496
Mailing address
3830 E VAN BUREN ST, PHOENIX, AZ 85008-6920
(602) 243-7277
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-16813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
AZ
Enumeration date
10/12/2017
Last updated
10/12/2017
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