STEPHANIE LARSEN MICKELSEN

GLENDALE, AZ
NPI1508473042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-22407)
Enumeration Date2020-09-29
Last Update Date2024-08-03
Business Address
STEPHANIE LARSEN MICKELSEN LCSW
17100 N 67TH AVE STE 400
GLENDALE, AZ 85308-3698
Phone number: 480-485-5919
Mailing Address
STEPHANIE LARSEN MICKELSEN LCSW
17100 N 67TH AVE STE 400
GLENDALE, AZ 85308-3698
Phone number:
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