Individual
MRS. DEDRA TSOSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER OF ROUTES N12 & N7, FT. DEFIANCE, AZ 86504
(928) 729-8878
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0188471
NM
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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