Individual
ALYSSA PROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(602) 805-4100
(602) 805-4200
Mailing address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(602) 805-4100
(602) 805-4200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17766
AZ
Other
Enumeration date
06/04/2019
Last updated
07/21/2023
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