Individual
MARQUITA LAGARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
(623) 247-9742
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW-20259
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW20259
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099794ADD
—
AZ
Enumeration date
07/11/2013
Last updated
06/05/2024
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