Individual
AMANDA TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3735 W BEARDSLEY RD, GLENDALE, AZ 85308-4711
(623) 252-4357
Mailing address
7937 W SWEETWATER AVE, PEORIA, AZ 85381-4013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-21948
AZ
1041C0700X
Clinical Social Worker
LMSW-21948
AZ
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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