Individual
AMANDA ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Mailing address
14807 W ACAPULCO LN, SURPRISE, AZ 85379-5409
(623) 692-7382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-17726
AZ
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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