Individual
MS. DORIS DIANE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8933 W VERNON AVE, PHOENIX, AZ 85037-3628
(623) 247-1330
Mailing address
8933 W VERNON AVE, PHOENIX, AZ 85037-3628
(623) 247-1330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
465467
AZ
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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