Individual
TOBOKANE NA MANTHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2819 E BROADWAY BLVD, TUCSON, AZ 85716-5309
(520) 771-6702
Mailing address
9378 W SPIDER AGAVE RD, MARANA, AZ 85653-0117
(520) 771-6702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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