Individual
STEPHANIE TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
968 W CALLE TRONCO SECO, SAHUARITA, AZ 85629-0417
(401) 578-7963
Mailing address
968 W CALLE TRONCO SECO, SAHUARITA, AZ 85629-0417
(401) 578-7963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01552
RI
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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