Individual
REGINA A DEGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2301 WEST THOMAS ROAD, PHOENIX, AZ 85015
(602) 257-3883
(602) 257-3881
Mailing address
127 WEST GEORGIA AVENUE, PHOENIX, AZ 85013
(602) 264-4396
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LCSW-0986
AZ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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