Individual
TANNY PURUGGANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 E VALENCIA RD, FORT MOHAVE, AZ 86426-9311
(619) 890-2407
Mailing address
1331 E VALENCIA RD, FORT MOHAVE, AZ 86426-9311
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT118882
CA
Other
Enumeration date
03/14/2013
Last updated
05/24/2024
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