Individual
FAVIOLA AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3690 S PARK AVE STE 805, TUCSON, AZ 85713-5042
(520) 616-6760
(520) 616-6799
Mailing address
3690 S PARK AVE STE 805, TUCSON, AZ 85713-5042
(520) 616-6760
(520) 616-6799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17005
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349583
—
AZ
Enumeration date
01/23/2018
Last updated
09/01/2021
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