Individual
EVA BEATRIX FORNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5023 W ONYX AVE, GLENDALE, AZ 85302-2426
(623) 937-0917
(623) 937-0917
Mailing address
6613 W CORTEZ ST, GLENDALE, AZ 85304-3128
(623) 332-1472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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