Individual
INDIA JADE PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8079 N 85TH WAY, SCOTTSDALE, AZ 85258-4321
(480) 261-5015
Mailing address
13820 S 44TH ST APT 1142, PHOENIX, AZ 85044-4858
(310) 855-4699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-18765
AZ
Other
Enumeration date
08/31/2021
Last updated
09/02/2021
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