Individual
MARY ANN DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
15122 W ROMA AVE, GOODYEAR, AZ 85395-6349
(808) 368-7887
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17508
AZ
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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