Individual
DAISY VILLALVAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8581 N 61ST AVE, GLENDALE, AZ 85302-5432
(623) 934-1991
Mailing address
10747 W BRILES RD, PEORIA, AZ 85383-5911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-19310
AZ
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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