Lisa Marguerite Dehaven-jordan LCSW

NPI 1154577500 - Social Worker - 1041C0700X

NPI Details
NPI 1154577500
Gender Female
Enumeration Date 08/15/2008
Last Updated 08/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7575 E EARLL DR
SCOTTSDALE AZ, 85251-6915, US
Phone (480) 941-7552
Fax
Business Location
7575 E EARLL DR
SCOTTSDALE AZ, 85251-6915, US
Phone (480) 941-7552
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Arizona
License Number LCSW-1779
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According to our database, Mrs. Lisa Marguerite Dehaven-jordan LCSW NPI is 1154577500, taxonomy code is 1041C0700X and license number is LCSW-1779, license state is located at Arizona. Lisa Marguerite Dehaven-jordan LCSW physically located at 7575 E Earll Dr, Scottsdale AZ, 85251-6915. NPI Number Lisa Marguerite Dehaven-jordan LCSW has the Individual type.

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1154577500 NPI number is provided on an as is basis without warranty of any kind. 1154577500 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Marguerite Dehaven-jordan LCSW are for informational purposes only.