Provider Information for 1285883819
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Ms. JENNIFER LORIE MCHORSE LCSW
Sex: Female
NPI: 1285883819
Last Updated: 2024-09-24
Certification Date: 2024-09-24
Certification Date: 2024-09-24
Details
| Name | Value | ||||||||||||
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| NPI | 1285883819 | ||||||||||||
| Enumeration Date | 2008-09-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 95460 CLEVELAND, OH 44101-0033 United States Phone: 602-263-1200 | Fax: | ||||||||||||
| Primary Practice Address | 4212 N 16TH ST PHOENIX, AZ 85016 United States Phone: 602-263-1200 | Fax: | ||||||||||||
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