Individual
KIANNA MATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4801 S LAKESHORE DR STE 204, TEMPE, AZ 85282-7157
(480) 608-3513
Mailing address
4801 S LAKESHORE DR STE 204, TEMPE, AZ 85282-7157
(602) 639-2537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-19023
AZ
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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