| Phoenix Elementary School District #1 | |
|
123 N 13th St Shaw Elem School Phoenix AZ 85034 | |
| (602) 257-3898 | |
| (602) 257-2954 |
| Full Name | Phoenix Elementary School District #1 |
|---|---|
| Speciality | Social Worker - School |
| Location | 123 N 13th St, Phoenix, Arizona |
| Authorized Official Name and Position | Suzanne Simon (COORDINATOR) |
| Authorized Official Contact | 6025238988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Elementary School District #1 1817 N 7th Street Student Services Phoenix AZ 85006 Ph: (602) 523-8988 | Phoenix Elementary School District #1 123 N 13th St Shaw Elem School Phoenix AZ 85034 Ph: (602) 257-3898 |
| NPI Number | 1750595914 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750595914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | LCSW-11531 (Arizona) | Primary |
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