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Individual

MS. STEPHANIE MOONINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7865 W BOCA RATON RD, PEORIA, AZ 85381-4687
(623) 979-4406
Mailing address
5501 N 19TH AVE, SUITE 310, PHOENIX, AZ 85015-2450
(602) 433-1344

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1619
AZ

Other

Enumeration date
06/06/2010
Last updated
06/06/2010
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