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1073248357
STACI DETWILER
PHOENIX, AZ
NPI
1073248357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-22553)
Enumeration Date
2022-07-20
Last Update Date
2024-10-10
Business Address
STACI DETWILER MSW, LCSW
4646 E GREENWAY RD STE 100
PHOENIX, AZ 85032-4805
Phone number: 480-300-4725
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Mailing Address
STACI DETWILER MSW, LCSW
3334 E GELDING DR
PHOENIX, AZ 85032-5352
Phone number:
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