Individual
MR. JAMAL MAYHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3921 W BASELINE ROAD, LAVEEN VILLAGE, AZ 85339
(480) 382-0114
Mailing address
3104 E CAMELBACK RD UNIT 7155, PHOENIX, AZ 85016-4502
(480) 382-0114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW - 11300
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065581
—
AZ
Enumeration date
02/21/2007
Last updated
04/06/2022
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