Individual
THEA HARBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 N 4TH ST, FLAGSTAFF, AZ 86004-1809
(928) 779-1679
(928) 779-2822
Mailing address
2915 N 4TH ST, FLAGSTAFF, AZ 86004-1809
(928) 779-1679
(928) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW20293
AZ
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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