Individual
DR. GEORGIA YUKIWMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.H.D.
Contact information
Practice address
HWY 264-HOPI HEALTH CARE CENTER, SECOND MESA, AZ 86043-0068
(928) 737-6300
(928) 737-6333
Mailing address
PO BOX 2, KYKOTSMOVI, AZ 86039-0002
(928) 737-6300
(928) 737-6333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3073
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
449282
—
AZ
Enumeration date
12/22/2006
Last updated
07/08/2007
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