Individual
MRS. LISA MARIE CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8765 W KELTON LN BLDG A2B3, PEORIA, AZ 85382-3584
(602) 613-0403
Mailing address
101 W SEQUOIA DR, PHOENIX, AZ 85027-4753
(623) 261-2983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21170
AZ
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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