Individual
MS. ELIZABETH WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9520 W PALM LN STE 200, PHOENIX, AZ 85037-4403
(623) 583-3001
(623) 583-3007
Mailing address
40304 W LOCOCO ST, MARICOPA, AZ 85138-5137
(602) 314-7225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10910
AZ
Other
Enumeration date
01/14/2014
Last updated
06/29/2022
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