Individual
TRICIA ATOIGUE LIZAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
222 CHALAN SANTO PAPA REFELCTION CENTER, SUITE 102, HAGATNA, GU 96910-5172
(671) 477-5715
(671) 472-6221
Mailing address
REFLECTION CENTER 222 CHALAN SANTO PAPA, SUITE 102, HAGATNA, GU 96910-5172
(671) 477-5715
(671) 477-5714
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0000075
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMFT 0000075
PROFESSIONAL LICENSING
GU
Enumeration date
03/07/2007
Last updated
07/08/2007
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