Individual
STEPHANIE MARIE WOGOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10439 S 51ST ST STE 100, PHOENIX, AZ 85044-5224
(480) 635-9944
Mailing address
10439 S 51ST ST STE 100, PHOENIX, AZ 85044-5224
(909) 395-6602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22211
AZ
Other
Enumeration date
06/11/2012
Last updated
04/22/2024
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