Provider Demographics
NPI:1811364748
Name:MONZ, DURENE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:DURENE
Middle Name:MARIE
Last Name:MONZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 S VINEYARD AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-3502
Mailing Address - Country:US
Mailing Address - Phone:602-576-9404
Mailing Address - Fax:
Practice Address - Street 1:3835 S VINEYARD AVE
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-3502
Practice Address - Country:US
Practice Address - Phone:602-576-9404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0826521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical