Individual
MR. TYRONE ANTONIO SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
14429 N 33RD PL, PHOENIX, AZ 85032-5335
(803) 397-7466
Mailing address
14429 N 33RD PL, PHOENIX, AZ 85032-5335
(803) 397-7466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C008184
NC
1041C0700X
Clinical Social Worker
Primary
LCSW-18300
AZ
Other
Enumeration date
11/30/2012
Last updated
05/09/2023
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