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Individual

MRS. STEPHANIE ANDREA FORGEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
10506 W LA REATA AVE, AVONDALE, AZ 85392-4659
(602) 619-4140
Mailing address
10506 W LA REATA AVE, AVONDALE, AZ 85392-4659
(602) 619-4140

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MT-09482
AZ

Other

Enumeration date
07/16/2012
Last updated
07/16/2012
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