Individual
MARTHA GITOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 S 125TH AVE, AVONDALE, AZ 85323-8447
(253) 228-7140
Mailing address
613 S 125TH AVE, AVONDALE, AZ 85323-8447
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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