Individual
DENISE RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7138 W SUNNYSIDE DR, PEORIA, AZ 85345-8915
(623) 271-7603
Mailing address
7138 W SUNNYSIDE DR, PEORIA, AZ 85345-8915
(269) 420-2850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-16431
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-18522
AZ
Other
Enumeration date
11/07/2016
Last updated
02/04/2024
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