Individual
SAMANTHA JENAE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3033 S ARIZONA AVE, CHANDLER, AZ 85248-2717
(480) 923-6317
Mailing address
441 E CRESCENT PL, CHANDLER, AZ 85249-5327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-17438
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-20827
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-17438
AZBBHE
AZ
Enumeration date
03/16/2022
Last updated
12/05/2024
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