Individual
TRACI ANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8841 N 1ST ST STE B, PHOENIX, AZ 85020-2801
(602) 492-8765
Mailing address
8841 N 1ST ST STE B, PHOENIX, AZ 85020-2801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-16434
AZ
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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