Individual
TANYA KUNNAPPILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
(602) 263-0460
Mailing address
2009 E VISTA DR, PHOENIX, AZ 85022-4140
(602) 279-5262
(602) 263-0460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16191
AZ
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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