DETZA ERICKA VAN BOGAERT

PHOENIX, AZ
NPI1851716757
Former NameDETZA TOBAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
(Licence: AZ  LMSW-13670)
Enumeration Date2014-02-28
Last Update Date2014-02-28
Business Address
-- DETZA ERICKA VAN BOGAERT LMSW
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5043
Mailing Address
-- DETZA ERICKA VAN BOGAERT LMSW
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5043