Individual
TRACY MARIE JANIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14040 N CAVE CREEK RD STE 205, PHOENIX, AZ 85022-6179
(602) 358-7073
(888) 927-0409
Mailing address
23380 N 61ST DR, GLENDALE, AZ 85310-5748
(602) 358-7073
(888) 927-0409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-7156T
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-7156T
BOARD OF BEHAVIORAL HEALTH
AZ
Enumeration date
02/11/2022
Last updated
02/11/2022
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