Individual provider · NPI-1

Marlayna Ashley Anderson, LMSW

Social Worker, Clinical · Tempe, AZ

NPI number1184203358
StatusActive
Last updated in NPPESApr 5, 2021

Details

NPI
1184203358
Entity type
Individual (NPI-1)
Name
Marlayna Ashley Anderson
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2021
Certification date
Apr 5, 2021
Last updated
Apr 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLMSW-18070AZYes

Practice location

4801 S Lakeshore Dr Ste 111
Tempe, AZ 85282-7156

Phone 480-442-9089

Mailing address

7047 S 30th St
Phoenix, AZ 85042-6013

Phone 602-575-5359

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