Organization
THERAPEUTIC CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA CAROL DEAN LCSW (OWNER)
(480) 258-2915
Entity
Organization
Contact information
Practice address
22717 S ELLSWORTH RD, B-101, QUEEN CREEK, AZ 85242-6127
(480) 258-2915
(480) 888-0231
Mailing address
PO BOX 1598, QUEEN CREEK, AZ 85242-1598
(480) 258-2915
(480) 888-0231
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-2854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752586
—
AZ
01
—
Z122647
MEDICARE PTAN
—
01
—
Z122648
MEDICARE PTAN
—
Enumeration date
09/18/2008
Last updated
09/18/2008
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