Individual
ALLISON VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
20702 W GRANT MINE RD, WITTMANN, AZ 85361-9778
(623) 810-0725
Mailing address
20702 W GRANT MINE RD, WITTMANN, AZ 85361-9778
(623) 810-0725
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104942
—
AZ
Enumeration date
03/28/2007
Last updated
07/08/2007
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