Individual
MICHAEL TOKUNAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 BRIAR ST, PRESCOTT, AZ 86305-5036
(928) 713-2868
Mailing address
123 BRIAR ST, PRESCOTT, AZ 86305-5036
(928) 713-2868
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-15998
AZ
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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