Individual
ALINE SIBOMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4507 S 108TH AVE, TOLLESON, AZ 85353-4585
(404) 490-2993
Mailing address
4507 S 108TH AVE, TOLLESON, AZ 85353-4585
(404) 490-2993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-22086
AZ
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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