Individual
AMBER ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5244 W NOVAK WAY, LAVEEN, AZ 85339-2992
(602) 283-4704
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8432612
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8432612
DCS/OLR LICENSING AUTHORITY
AZ
Enumeration date
05/03/2017
Last updated
01/02/2018
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