Individual
TONYA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12912 W MCLELLAN RD, GLENDALE, AZ 85307-1917
(313) 629-6680
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8022998
AZ
385HR2055X
Child Mental Illness Respite Care
Primary
8022998
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8022998
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
11/10/2016
Last updated
12/28/2020
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