Individual
AMI TAMAKUWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
483 W SEED FARM ROAD, SACATON, AZ 85147
(602) 528-7100
Mailing address
2157 E INDIAN WELLS DR, GILBERT, AZ 85298-9739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13634
AZ
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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