Provider Demographics
NPI:1164554580
Name:ABRAMS, CHRISTIE (MSW)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 WEST DAVIS RD.
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-6921
Mailing Address - Country:US
Mailing Address - Phone:602-354-5977
Mailing Address - Fax:
Practice Address - Street 1:1935 W HAYWARD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-6921
Practice Address - Country:US
Practice Address - Phone:602-336-6982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11361104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker