Individual
DONNA MARIE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15993 W GLENROSA AVE, GOODYEAR, AZ 85395-7765
(623) 882-6441
(602) 279-1431
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8869874
DCS/OLR
AZ
Enumeration date
10/20/2017
Last updated
03/21/2018
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