Individual
KRISTEN WAGSTAFF BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1120 N 5TH AVE, TUCSON, AZ 85705-7408
(520) 310-5417
Mailing address
2117 S SAINT SUZANNE DR, TUCSON, AZ 85713-7409
(928) 920-2550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-18460
AZ
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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