Individual
MRS. TOWANDA NICOLE CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5412 W APOLLO RD, LAVEEN, AZ 85339-6951
(267) 236-6820
Mailing address
5412 W APOLLO RD, LAVEEN, AZ 85339-6951
(267) 236-6820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17571
AZ
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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