Individual
SUPRAJA PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
1920 E CAMBRIDGE AVE., ROSENBERG BLDG., SUITE 304, PHOENIX, AZ 85006
(602) 933-5503
Mailing address
1550 E CAMPBELL AVE APT 4032, PHOENIX, AZ 85014-4275
(913) 553-8720
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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