Organization
THUNDERBIRD OASIS COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE J GRAHAM MSW, LCSW (PRESIDENT)
(480) 244-6761
Entity
Organization
Contact information
Practice address
8253 W THUNDERBIRD RD, SUITE103, PEORIA, AZ 85381-4616
(623) 776-9921
(623) 776-9921
Mailing address
8253 W THUNDERBIRD RD, SUITE103, PEORIA, AZ 85381-4616
(623) 776-9921
(623) 776-9921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
NONE
AZ
Other
Enumeration date
10/07/2005
Last updated
08/22/2020
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