NPI 1932438611

Laura Tsagaris

Practitioner Child Mental Illness Respite Care Goodyear, AZ

Practice location

Address: 17350 W Adams St, Goodyear, AZ 85338-6037
Phone: (623) 204-8650

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X Licence 1963348 (AZ)

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Registry record

NPI: 1932438611
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2009
Record last updated: 9 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.