Individual
CHANDYA WIJEWEERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723
(520) 792-1450
Mailing address
2508 N FORGEUS AVE, TUCSON, AZ 85716
(520) 256-3225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018972
IL
Other
Enumeration date
05/31/2011
Last updated
02/06/2017
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