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Organization

EAST VALLEY TRAUMA COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY DELUCA (BILLING MANAGER)
(602) 741-3077
Entity
Organization

Contact information

Practice address
1166 E WARNER RD STE 206, GILBERT, AZ 85296-3066
(480) 462-7728
(480) 452-1530
Mailing address
3641 W LAREDO ST, CHANDLER, AZ 85226-2233
(480) 776-4155

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16034
AZ

Other

Enumeration date
07/07/2017
Last updated
10/29/2019
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