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Individual

DR. BUFFY T. WOOTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(602) 462-1116
(602) 462-1119
Mailing address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(602) 462-1116
(602) 462-1119

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3308
AZ

Other

Enumeration date
08/18/2005
Last updated
02/09/2012
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