Individual
GENETT ANDREA TOMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, IMH-E III
Contact information
Practice address
825 W WARNER RD, CHANDLER, AZ 85225-2926
(480) 650-0209
Mailing address
6409 S DORSEY LN, TEMPE, AZ 85283-3910
(480) 650-0209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12770
AZ
Other
Enumeration date
01/17/2010
Last updated
01/17/2010
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