Individual
COURTNEY REBECCA PAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2509 S POWER RD STE 110, MESA, AZ 85209-6696
(480) 223-0223
(480) 505-7061
Mailing address
1425 W ELLIOT RD STE 201, GILBERT, AZ 85233-5142
(480) 223-0223
(480) 505-7061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-21185
AZ
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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