Individual
SANDRA GAIL NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSSW
Contact information
Practice address
2301 W DUNLAP AVE, 206, PHOENIX, AZ 85021-2844
(602) 750-8051
(602) 674-5701
Mailing address
2301 W DUNLAP AVE, 206, PHOENIX, AZ 85021-2844
(602) 750-8051
(602) 674-5701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10782
AZ
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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