Individual
MRS. LISA L MCKIRCHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
525 W BROWN RD, MESA, AZ 85201-3202
(602) 747-4772
Mailing address
957 E MAGDALENA DR, TEMPE, AZ 85283-3013
(480) 734-1850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13182
AZ
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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