Individual
MR. DEOGRATIAS BARANSAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7215 W IRONWOOD DR, PEORIA, AZ 85345-6805
(623) 760-8378
(623) 594-8992
Mailing address
7215 W IRONWOOD DR, PEORIA, AZ 85345-6805
(623) 760-8378
(623) 594-8992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH4311
AZ
Other
Enumeration date
10/14/2009
Last updated
10/13/2024
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