Individual
CASSANDRA CECILA COLOMBO-HICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4124 W BERYL AVE, PHOENIX, AZ 85051-1030
(623) 261-7334
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10941283
AZ
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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