STACEY L ALLEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022366

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

ALLEN

Business Name

STACEY L ALLEN

Original Issue Date

07/08/2020

Effective Date

07/08/2020

Expiration Date

02/28/2022

City

PHOENIX

State

Zip

85086

County

ARIZONA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022