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1639773989
JACQUELINE FAVARO
PHOENIX, AZ
NPI
1639773989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-3906)
Enumeration Date
2020-11-27
Last Update Date
2020-11-27
Business Address
JACQUELINE FAVARO
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
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Mailing Address
JACQUELINE FAVARO
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
Copy
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