Individual
MOLLY DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4647 N 32ND ST, SUITE 255, PHOENIX, AZ 85018-3345
(480) 200-0410
Mailing address
4647 N 32ND ST, SUITE 255, PHOENIX, AZ 85018-3345
(480) 200-0410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13580
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
704245
—
AZ
Enumeration date
08/30/2010
Last updated
08/15/2012
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