Individual
TARA ROY-PABLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1515 E FLORENCE BLVD STE 101, CASA GRANDE, AZ 85122-5334
(602) 935-6299
Mailing address
4568 E THISTLE LANDING DR, PHOENIX, AZ 85044-6849
(480) 205-0158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-12243
AZ
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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