Individual
BLYTHE A FITZHARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
2255 W NORTHERN AVE, SUITE B100, PHOENIX, AZ 85021-4936
(602) 995-1767
Mailing address
1351 N PLEASANT DR UNIT 2107, CHANDLER, AZ 85225-7933
(602) 920-0486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10542
AZ
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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