Individual
TYECHIA WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
9944280
AZ
385HR2055X
Child Mental Illness Respite Care
9944280
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9944280
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
09/12/2019
Last updated
03/19/2020
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