Individual
LAURA TSAGARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17350 W ADAMS ST, GOODYEAR, AZ 85338-6037
(623) 204-8650
Mailing address
17350 W ADAMS ST, GOODYEAR, AZ 85338-6037
(623) 204-8650
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1963348
AZ
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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