Individual
MR. MICHAEL ANTHONY YANCY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23877 W LASSO LN, BUCKEYE, AZ 85326-8131
(623) 238-9823
Mailing address
23877 W LASSO LN, BUCKEYE, AZ 85326-8131
(623) 238-9823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12658
AZ
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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