Individual
KELLY MARIE SPARTONOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7664 E 22ND ST, APT 5, TUCSON, AZ 85710-6420
(928) 210-1327
Mailing address
7664 E 22ND ST, APT 5, TUCSON, AZ 85710-6420
(928) 210-1327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-14048
AZ
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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