Individual
LINDA M FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5141 W LAMAR RD, GLENDALE, AZ 85301-3423
(623) 344-6700
(623) 344-6701
Mailing address
5141 W LAMAR RD, GLENDALE, AZ 85301-3423
(623) 344-6700
(623) 344-6701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1624
AZ
Other
Enumeration date
06/11/2007
Last updated
01/08/2009
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