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NPI 1366368417

NPI 1366368417 : ALLISON NICOLE STOCKWELL : TEMPE, AZ

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General NPI Number Information
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    NPI Number           |    1366368417
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    Entity Type          |    Individual 
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    Provider Name        |    ALLISON NICOLE STOCKWELL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/24/2026
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    Last Update Date     |    06/24/2026
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Provider Practice Location Address
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    Address Line         |    1761 E WARNER RD STE 2 
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    City                 |    TEMPE
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    State                |    AZ
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    Zip                  |    85284-4560
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    Country              |    US
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    Telephone            |    480-882-7390
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3449 E BRUCE AVE 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234-4221
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    Country              |    US
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    Telephone            |    602-826-7790
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LMSW-23007
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    License Number State |    AZ
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