Individual
JEANINE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-19948
Contact information
Practice address
1001 N CENTRAL AVE STE 610, PHOENIX, AZ 85004-1935
(623) 210-6199
Mailing address
623 W GUADALUPE RD UNIT 290, MESA, AZ 85210-7738
(520) 236-8283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22630
AZ
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/22/2024
Last updated
06/02/2025
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