Individual
TYRAE WORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2514
(520) 876-1840
(520) 421-2708
Mailing address
210 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2514
(520) 876-1840
(520) 421-2708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15592
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020018
—
AZ
Enumeration date
10/21/2015
Last updated
10/21/2015
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