Individual
DORA HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18444 N 25TH AVE STE 420, PHOENIX, AZ 85023-1268
(623) 349-4344
Mailing address
18444 N 25TH AVE STE 420, PHOENIX, AZ 85023-1268
(623) 349-4344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-17936
AZ
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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