MRS. Kathleen Ann Chan, LCSW

NPI #1104056613 in Laveen, Arizona

Provider Information

NPI Number: 1104056613
Entity Type: Individual
Name: MRS. Kathleen Ann Chan, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 17, 2009
Last Updated: Jul 17, 2009

Practice Location

Address: 4577 W PECOS RD
City: Laveen
State: Arizona
ZIP Code: 85339
Phone: (520) 550-6041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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