Individual
TANJA GROMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3175 GORDON DR, KINGMAN, AZ 86409-3303
(928) 757-4328
Mailing address
3175 GORDON DR, KINGMAN, AZ 86409-3303
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Enumeration date
08/28/2007
Last updated
08/29/2007
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