Individual
NOEL ALTAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 WEST BEARGRASS DRIVE, FORT APACHE, AZ 85926-0803
(480) 519-6392
Mailing address
PO BOX 803, FORT APACHE, AZ 85926-0803
(480) 519-6392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104726-1
NY
104100000X
Social Worker
Primary
LMSW-20757
AZ
Other
Enumeration date
12/27/2018
Last updated
11/12/2025
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