Individual
MICHELLE R FONTAINE-YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
992 N KIRBY ST, GILBERT, AZ 85234-2209
(480) 832-2150
Mailing address
992 N KIRBY ST, GILBERT, AZ 85234-2209
(480) 832-2150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-11659
AZ
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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