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1508473042
STEPHANIE LARSEN MICKELSEN
GLENDALE, AZ
NPI
1508473042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AZ LCSW-22407)
Enumeration Date
2020-09-29
Last Update Date
2024-08-03
Business Address
STEPHANIE LARSEN MICKELSEN LCSW
17100 N 67TH AVE STE 400
GLENDALE, AZ 85308-3698
Phone number: 480-485-5919
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Mailing Address
STEPHANIE LARSEN MICKELSEN LCSW
17100 N 67TH AVE STE 400
GLENDALE, AZ 85308-3698
Phone number:
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