Individual
CARLOS ORESTES CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(602) 347-2826
(602) 347-2709
Mailing address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(602) 347-2826
(602) 347-2709
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4358066
AZ
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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