Provider Demographics
NPI:1073048898
Name:DAWSON, VALERIE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:DAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 E WOOD DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-5237
Mailing Address - Country:US
Mailing Address - Phone:602-616-4400
Mailing Address - Fax:
Practice Address - Street 1:2633 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 360
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6759
Practice Address - Country:US
Practice Address - Phone:602-285-9696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-30
Last Update Date:2017-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-05471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical