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4500 S Lakeshore Dr Ste 415 Tempe AZ 85282-7056 | |
| (520) 352-7924 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 4500 S Lakeshore Dr Ste 415, Tempe, Arizona |
| Authorized Official Name and Position | Lindsay Allison Love (OWNER AND OPERATOR) |
| Authorized Official Contact | 5203527924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4500 S Lakeshore Dr Ste 415 Tempe AZ 85282-7056 Ph: (520) 352-7924 | 4500 S Lakeshore Dr Ste 415 Tempe AZ 85282-7056 Ph: (520) 352-7924 |
| NPI Number | 1447908165 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447908165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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