Individual
HALEY ANNE BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
(520) 279-7692
Mailing address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC50081320
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689181505
TRICARE
DC
Enumeration date
12/30/2017
Last updated
08/14/2024
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