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General NPI Number Information
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NPI Number | 1427784552
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Entity Type | Individual
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Provider Name | LISA M DEJORDY STEELE LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 650 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 602-277-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 19801 N 59TH AVE # 11562 19801 N 59TH AVE # 11562
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City | GLENDALE
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State | AZ
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Zip | 85318-1413
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Country | US
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Telephone | 623-824-2143
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Fax | 623-824-2143
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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 | LCSW-21296
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW-21296
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License Number State | AZ
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