Individual
TERRY CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4577 W PECOS RD, LAVEEN, AZ 85339-9002
(520) 550-6008
Mailing address
4577 W PECOS RD, LAVEEN, AZ 85339-9002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-11839
AZ
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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