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1174398432
DWAYNE PAUL DE LA PENA
PHOENIX, AZ
NPI
1174398432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LMSW-21250)
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
DWAYNE PAUL DE LA PENA LMSW
400 N 32ND ST
PHOENIX, AZ 85008-6205
Phone number: 602-914-2900
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Mailing Address
DWAYNE PAUL DE LA PENA LMSW
400 N 32ND ST
PHOENIX, AZ 85008-6205
Phone number: 602-914-2900
Copy
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