DWAYNE PAUL DE LA PENA

PHOENIX, AZ
NPI1174398432
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LMSW-21250)
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
DWAYNE PAUL DE LA PENA LMSW
400 N 32ND ST
PHOENIX, AZ 85008-6205
Phone number: 602-914-2900
Mailing Address
DWAYNE PAUL DE LA PENA LMSW
400 N 32ND ST
PHOENIX, AZ 85008-6205
Phone number: 602-914-2900