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Organization

JACQUIE JENSEN, MSW, LISAC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JACQUIE BETH JENSEN MSW (THERAPIST)
(480) 221-4875
Entity
Organization

Contact information

Practice address
2319 N 51ST PL, NUMBER 2, PHOENIX, AZ 85008-2519
(480) 221-4875
Mailing address
2319 N 51ST PL, NUMBER 2, PHOENIX, AZ 85008-2519
(480) 221-4875

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LISAC-11489
AZ

Other

Enumeration date
07/25/2014
Last updated
07/25/2014
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